Organization Active NPI

Northeastern Illinois Area Agency on Aging

Doing business as AgeGuide Northeastern Illinois

  • Case Management Agency
  • Lombard, IL
National Provider Identifier
1679933881
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTHEASTERN ILLINOIS AREA AGENCY ON AGING
Doing business as
AgeGuide Northeastern Illinois
Practice address
1910 S Highland Ave Ste 100
Lombard, IL 60148-6157
Phone
(630) 293-5990
Fax
(630) 293-7488
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marla Fronczak
Title
Chief Executive Officer
Phone
(630) 293-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1910 S Highland Ave Ste 100
Lombard, IL 60148-6157

Mailing address

1910 S Highland Ave Ste 100
Lombard, IL 60148-6157
Phone (630) 293-5990

Other names 1

  • AgeGuide Northeastern Illinois Doing business as

National Provider Directory

National Provider Directory

Locations

100 College Dr
Bldg 5
Kankakee, IL 60901

1910 S Highland Ave
Ste 100
Lombard, IL 60148
Phone (630) 293-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1679933881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S HIGHLAND AVE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486157",
            "telephone_number": "630-293-5990",
            "fax_number": "630-293-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S HIGHLAND AVE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486157",
            "telephone_number": "630-293-5990",
            "fax_number": "630-293-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN ILLINOIS AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FRONCZAK",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-293-5990"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AgeGuide Northeastern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.