NPIMap

Organization Active NPI

Northwestern Illinois Association

  • Speech/Language/Hearing Specialist/Technologist
  • Dubuque, IA
National Provider Identifier
1962655522
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
2252428 Issued in IL
Legal business name
NORTHWESTERN ILLINOIS ASSOCIATION
Practice address
1895 Bunker Hill Rd
Dubuque, IA 52001-3004
Phone
(563) 582-4387
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Jane Neisendorf
Title
Coordinator
Phone
(815) 895-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 235500000X 2252428 IL Primary

Addresses

Primary practice location

1895 Bunker Hill Rd
Dubuque, IA 52001-3004

Mailing address

245 W Exchange St
Sycamore, IL 60178-1495

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
Sycamore, IL 60178
Phone (815) 895-9227

Practitioners & affiliated clinicians

Practitioners 1

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1962655522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BUNKER HILL RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013004",
            "telephone_number": "563-582-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN ILLINOIS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "NEISENDORF",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "815-895-9227"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "IL",
            "license": "2252428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.