Organization · Type 2 NPI

County of Dupage Department of Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Addison, IL

NPI number 1073779229 Active

Practice location

875 S. Ardmore Ave.
Addison, IL 60101-6500

Call (630) 682-7400 Map

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Addison

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NPI record

NPI: 1073779229
Entity type: Organization (Type 2)
Issued: Aug 6, 2008
Last updated: May 31, 2023
Status: Active
Subpart: Yes of County of Dupage Department of Health

Other names

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Dupage County Health Department - Addison Group Home (agh) · doing business as
Dupage County Health Department - Addison Group Home (agh) · doing business as

Authorized official

Adam Forker
Executive Director
(630) 682-7400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073779229

County of Dupage Department of Health's National Provider Identifier is 1073779229, issued on Aug 6, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Addison, IL. The record was last updated on May 31, 2023.