Organization Active NPI

Northern Illinois Recovery LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1770466641
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHERN ILLINOIS RECOVERY LLC
Practice address
600 N State Route 31 Ste a
Crystal Lake, IL 60012-3716
Phone
(815) 261-3450
Fax
(815) 261-3451
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Nicholas Howell
Title
Ceo
Phone
(815) 261-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

600 N State Route 31 Ste a
Crystal Lake, IL 60012-3716

Mailing address

620 N State Route 31
Crystal Lake, IL 60012-3714
Phone (815) 261-3450

Other names 1

  • Northern Illinois Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Illinois Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N State Route 31
Ste A
Crystal Lake, IL 60012

600 N State Route 31
Ste D
Crystal Lake, IL 60012
Phone (815) 261-3450

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1770466641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N STATE ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123714",
            "telephone_number": "815-261-3450",
            "fax_number": "815-261-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N STATE ROUTE 31 STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123716",
            "telephone_number": "815-261-3450",
            "fax_number": "815-261-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-261-3450"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Illinois Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.