Provider Demographics
NPI:1821260175
Name:DEKALB COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:DEKALB COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OFFICE SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-758-6673
Mailing Address - Street 1:2550 N ANNIE GLIDDEN RD
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-1297
Mailing Address - Country:US
Mailing Address - Phone:815-758-6673
Mailing Address - Fax:815-748-2485
Practice Address - Street 1:2550 N ANNIE GLIDDEN RD
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-1297
Practice Address - Country:US
Practice Address - Phone:815-758-6673
Practice Address - Fax:815-748-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1548315344OtherNPI - AGENCY