Judson University

LBN: Judson University
Judson University is an health care organization with primary practice located at 1151 N State St , Elgin IL 60123-1404. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Agencies / Community/Behavioral Health is the primary health care specialty. Judson University can be contacted via phone (847) 628-2464, or through Didominicis, Carol via phone (847) 628-2464.

Contact Information

Primary practice address
1151 N State St Elgin IL 60123-1404
Phone: (847) 628-2464
Fax: (847) 628-2044
Website:
Map and Directions
Authorized official contact:
Name: Didominicis, Carol Licensed Clinical Social Worker (LCSW)
Phone: (847) 628-2464

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1356860571
LBN Legal business name Judson University
DBA Doing business as
Authorized official Didominicis, Carol Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2017
Last updated Sep 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356860571 NPPES
Other NONE NONE

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