NPIMap

Organization Active NPI

Sycamore Cusd #427

Doing business as Northwestern Illinois Association

  • Local Education Agency (LEA)
  • Sycamore, IL
National Provider Identifier
1902041585
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SYCAMORE CUSD #427
Doing business as
Northwestern Illinois Association
Practice address
245 W Exchange St
Suite 4
Sycamore, IL 60178-1495
Phone
(815) 895-9227
Fax
(815) 895-2971
NPI assigned
Dec 10, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Ms. Mary Ellen Kilpatrick
Title
Interim Regional Director
Phone
(815) 895-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

245 W Exchange St
Suite 4
Sycamore, IL 60178-1495

Mailing address

245 W Exchange St
Suite 4
Sycamore, IL 60178-1495
Phone (815) 895-9227

Other identifiers 1

IdentifierTypeStateIssuer
363072256001MedicaidIL

Other names 1

  • NORTHWESTERN ILLINOIS ASSOCIATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Illinois Assoication4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

245 W Exchange St
Ste 4
Sycamore, IL 60178
Phone (815) 762-5129

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1902041585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "address_2": "SUITE 4",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227",
            "fax_number": "815-895-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "address_2": "SUITE 4",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227",
            "fax_number": "815-895-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE CUSD #427",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "INTERIM REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "815-895-9227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363072256001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWESTERN ILLINOIS ASSOCIATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.