Grow in Illinois

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

05005 Issued in IL

Legal business name

GROW IN ILLINOIS

Practice address

1108 E Court St
Kankakee, IL 60901-4257

Phone

(815) 933-6690

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By 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

Ms. Carol Mussey

Title

President

Phone

(217) 352-6989

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
  • Bourbonnais, IL
  • NPI 1811284565
  NPD tax ID

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1942485230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 W SPRINGFIELD AVE",
            "address_2": "PO BOX 3667",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212883",
            "telephone_number": "217-352-6989",
            "fax_number": "217-352-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014257",
            "telephone_number": "815-933-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW IN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "MUSSEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-352-6989",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "05005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Kay Gregoire, MSW/LSW
• Candice N Gremley, PA-C
• Steven Anthony Groene
• Amanda L Gromnicki
• Stephanie E Grosso, PA-C
• Nicholas Guastalli, DO
• Sarah Guastalli, PA-C
• Matthew Evan Guimond, NP
• Naga Pushpa Guntupalli, MD
• Anuja Gupta, MD

• Mental Illness Community Based Residential Treatment Facility in Kankakee, IL
• Providers in Kankakee, 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 Jan 4, 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.