Healthcare Provider Details

I. General information

NPI: 1548315344
Provider Name (Legal Business Name): DEKALB COUNTY GOVERNMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 N ANNIE GLIDDEN RD
DEKALB IL
60115-1297
US

IV. Provider business mailing address

200 N. MAIN STREET
SYCAMORE IL
60178-1431
US

V. Phone/Fax

Practice location:
  • Phone: 815-758-6673
  • Fax: 815-748-2485
Mailing address:
  • Phone: 815-758-6673
  • Fax: 815-748-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA GONZALEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 815-748-2429