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NPI Code Detail

MEDICARE: COUNTY OF DUPAGE DEPARTMENT OF HEALTH

MEDICARE: COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician

General Provider Information

NPI Number : 1184466310
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Provider Business Mailing Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-221-7145
Fax Number :
Provider Business Practice Location Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-221-7145
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ADAM FORKER
Credential :
Telephone Number : 630-682-7400
Provider Enumeration Date : 06/10/2024
Last Update Date : 03/06/2026

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Directions to “COUNTY OF DUPAGE DEPARTMENT OF HEALTH ” Practice Location

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