Grow in Illinois

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GROW IN ILLINOIS

Practice address

223 Mohawk Dr
Bourbonnais, IL 60914-1351

Phone

(815) 933-6690

Fax

(815) 933-9937

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Dianne Maxwell

Title

Residential Coordinator

Phone

(815) 933-6690

Specialties & licenses 1

Addresses

Tax ID family

Grow in Illinois2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Grow in Illinois

  • Mental Illness Community Based Residential Treatment Facility
  • Kankakee, IL
  • NPI 1942485230
  NPD tax ID

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1811284565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014257",
            "telephone_number": "815-933-6690",
            "fax_number": "815-933-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MOHAWK DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141351",
            "telephone_number": "815-933-6690",
            "fax_number": "815-933-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW IN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "RESIDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "815-933-6690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Graska
• Sydney Graska
• Taryn Lyn Gray, APRN
• Barbara Grgurich, LSW
• Ann Marie Grossman
• Grumish Chiropractic Offices
• John Paul Grumish, DC
• Gabriella Guastalli
• James Kent Guebert, JAMES K GUEBERT DDS
• Armin Haghighi, DDS

• Mental Illness Community Based Residential Treatment Facility in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Mental Illness Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.