Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Autism Diagnostic Center, LLC

Organization Pediatrics Physician · NPI 1528675329

Northwest Autism Diagnostic Center, LLC provides Pediatrics Physician services in Crystal Lake, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

394 Federal Dr
Crystal Lake, IL 60014-6281
Phone: (224) 206-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1528675329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Dirksen — Owner · (224) 206-5415
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing addressPo Box 2257, Chesterton, IN 46304-0357

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