The Arc of Winnebago, Boone and Ogle Counties

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE ARC OF WINNEBAGO, BOONE AND OGLE COUNTIES

Practice address

1222 E State St
Rockford, IL 61104-2230

Phone

(815) 965-3455

Fax

(815) 965-3673

NPI assigned

Jan 31, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jacki Neil Boss

Title

Executive Director

Phone

(815) 965-3455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Diguiseppi, LCSW

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1528355757
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689852733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042230",
            "telephone_number": "815-965-3455",
            "fax_number": "815-965-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042230",
            "telephone_number": "815-965-3455",
            "fax_number": "815-965-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF WINNEBAGO, BOONE AND OGLE COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEIL BOSS",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-965-3455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumeet K. Tewani, MD
• Nishant B Thakar, PHARMD
• Neal K Thakrar, O.D.
• Nirandone Thammarath
• Vivek Thappa, MD
• The Attachment Group
• The Board of Trustees of the University of Illinois (UI Health Mile Square Health Center L. P. Johnson Rockford)
• The Board of Trustees of the University of Illinois (UI Health Mile Square Health Center L P Johnson Rockord)
• The Board of Trustees of the University of Illinois (Uic Merit)
• The Bridge Clinic of Rockofrd

• Voluntary or Charitable Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.