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JOLIET CENTER FOR CLINICAL RESEARCH INC NPI 1760647226


NPI Information

NPI: 1760647226
Provider Name: JOLIET CENTER FOR CLINICAL RESEARCH, INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 14D2008340

Address:
210 N HAMMES AVE
SUITE 205
JOLIET, IL
ZIP 60435
Phone: (815) 729-7790
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JOLIET CENTER FOR CLINICAL RESEARCH, INC is a psychiatry psychiatry neurology in Joliet, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. JOLIET CENTER FOR CLINICAL RESEARCH, INC NPI is 1760647226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 N HAMMES AVE
SUITE 205
JOLIET, IL
ZIP 60435-139
Phone: (815) 729-7790
Fax: (815) 725-8144

The provider's authorized official is Cosme O Lozano .
The authorized official title is Medical Director and has the following contact phone number (815) 729-7790.

The CLIA number assigned to this NPI record is 14D2008340 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/13/2016.


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
1101YP2500XCounselorProfessionalNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

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
11689791360OTHERSILVER CROSS PSYCH NPI
21609056001OTHERFAIRVIEW NPI
31922094051OTHEROUR LADY OF ANGELS NPI
41568553519OTHERSILVER CROSS NPI
51134209364OTHERJOLIET TERRACE NPI
6F20161MEDICARE UPINILLINOIS
7C42799MEDICARE UPINILLINOIS
81780740209OTHEREMBASSY NPI
9DO1399MEDICARE PIN
10IL1041001MEDICARE PINILLINOIS
111003976713OTHERST JOE PSYCH NPI
121295961886OTHERTONY NPI
131407971716OTHERLAKEWOOD NPI
141427034651OTHERDEERBROOK NPI
15P00659422MEDICARE PIN
161760647226OTHERNPI
171316103898OTHERNPI
181487715645OTHERST JOE NPI
19IL1041MEDICARE PINILLINOIS
20145761MEDICARE PINILLINOIS
211013904739OTHERSALEM VILLAGE NPI
221417197690OTHERMANDY NPI
230136082815MEDICAIDILLINOIS
241922143320OTHERHILLCREST NPI
251073518924OTHERROSEWOOD NPI
261467473462OTHERTRUM NPI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.