Illinois Association of Microboards and Cooperatives

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ILLINOIS ASSOCIATION OF MICROBOARDS AND COOPERATIVES

Practice address

104 Woodcreek CT
Mahomet, IL 61853-9185

Phone

(217) 778-5388

Fax

(217) 586-4552

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Vicki J Niswander

Title

Executive Director

Phone

(217) 778-5388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1700187556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODCREEK CT",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539185",
            "telephone_number": "217-778-5388",
            "fax_number": "217-586-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODCREEK CT",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539185",
            "telephone_number": "217-778-5388",
            "fax_number": "217-586-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ASSOCIATION OF MICROBOARDS AND COOPERATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "NISWANDER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-778-5388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.