NPIMap

Organization Active NPI

Will County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monee, IL
National Provider Identifier
1952697310
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILL COUNTY HEALTH DEPARTMENT
Practice address
5601 W Monee Manhattan Rd
Suite 107-110
Monee, IL 60449
Phone
(708) 534-0800
NPI assigned
Jun 23, 2011
Organization subpart
Yes
Parent organization
WILL COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Susan Olenek
Title
Executive Director
Phone
(815) 740-8982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5601 W Monee Manhattan Rd
Suite 107-110
Monee, IL 60449

Mailing address

501 Ella Ave
Joliet, IL 60433-2799
Phone (815) 727-8480

Other names 1

  • WCHD EBO CMHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Will County HLTH Dept L8 organizations share this tax ID, including this one
Part of
Will County HLTH Dept L

Other organizations with this tax ID 7

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

Locations

5601 W Monee Manhattan Rd
Ste 107110
Monee, IL 60449
Phone (708) 534-0800

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1952697310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ELLA AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332799",
            "telephone_number": "815-727-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W MONEE MANHATTAN RD",
            "address_2": "SUITE 107-110",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "60449",
            "telephone_number": "708-534-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILL COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "OLENEK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-740-8982"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHD EBO CMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.