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JOLIET DOCTORS CLINIC S.C. NPI 1104838788


NPI Information

NPI: 1104838788
Provider Name: JOLIET DOCTORS CLINIC S.C.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
3033 W JEFFERSON ST STE 206
JOLIET, IL
ZIP 60435
Phone: (815) 730-3304
Get Directions

JOLIET DOCTORS CLINIC S.C. is an endocrinology and diabetes and metabolism internal medicine in Joliet, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. JOLIET DOCTORS CLINIC S.C. NPI is 1104838788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3033 W JEFFERSON ST STE 206
JOLIET, IL
ZIP 60435-252
Phone: (815) 730-3304
Fax: (815) 730-3305

The provider's authorized official is Wassim El-harake .
The authorized official title is Owner and has the following contact phone number (815) 730-3304.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 2/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207R00000XInternal Medicine036102075ILLINOISNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism036089327ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001626002OTHERBLUE CROSS
2001626002ILOTHERILLINOISBLUE CROSS/BLUE SHIELD
3001626002OTHERILLINOISBLUE CROSS
4001626002OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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