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NORTHWEST AUTISM DIAGNOSTIC CENTER, LLC
NPI 1528675329
Pediatrics in Crystal Lake, IL

Active since September 25, 2020
394 FEDERAL DR, CRYSTAL LAKE, IL 60014(224) 206-5415 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Autism Diagnostic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST AUTISM DIAGNOSTIC CENTER, LLC (NPI 1528675329) is a healthcare organization registered as a pediatrics in Crystal Lake, Illinois and active in the NPI registry since September 2020. The organization lists Courtney Dirksen, Owner, as its authorized official.

NPPES Registry Identity

NPI1528675329
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHWEST AUTISM DIAGNOSTIC CENTER, LLC
Location Address394 FEDERAL DRCrystal Lake, IL 60014-6281
Mailing AddressPo Box 2257Chesterton, IN 46304-0357 · (219) 926-8320
Phone(224) 206-5415
Organization SubpartNo
Authorized OfficialCourtney DirksenOwner · (224) 206-5415
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1528675329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
394 FEDERAL DR, Crystal Lake, IL 60014
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NORA PORROVECCHIO COTA
Occupational Therapy Assistant
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
MILESTONES THERAPY CENTER
Point of Service
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
ALISON SCHNACKEL
Occupational Therapist (Pediatrics)
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
AUBREY HADDICAN M.S., OTR/L
Occupational Therapist (Pediatrics)
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
MICHELLE DVORAK
Occupational Therapy Assistant
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
CARESSA MARIE SORENSEN COTA
Occupational Therapy Assistant
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810
GEORGETTE MELUS COTA/L
Occupational Therapy Assistant
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (630) 933-1500
NATALIA KATHERINE KRASUSKA
Speech-Language Pathologist
394 FEDERAL DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-3810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Autism Diagnostic Center, LLC's NPI number?

The NPI number for Northwest Autism Diagnostic Center, LLC is 1528675329. It was assigned to this organization in the NPPES registry on September 25, 2020.

Where is Northwest Autism Diagnostic Center, LLC located?

Northwest Autism Diagnostic Center, LLC is located at 394 Federal Dr, Crystal Lake, IL 60014. The listed phone number is (224) 206-5415.

What is Northwest Autism Diagnostic Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Northwest Autism Diagnostic Center, LLC was last updated on September 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.