Joliet Doctors Clinic S.C. in Joliet - Family Medicine
Joliet Doctors Clinic S.C. - NPI 1104838788
Joliet Doctors Clinic S.C. is a Family Medicine in Joliet, Illinois. Joliet Doctors Clinic S.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joliet Doctors Clinic S.C. is 1104838788. The last update date is 2023-02-09.
Joliet Doctors Clinic S.C.'s current location address is 3033 W Jefferson St Ste 206, Joliet, Illinois. You can contact this provider via phone number 8157303304 and fax number 8157303305. The mailing address for Joliet Doctors Clinic S.C. is 3033 W Jefferson St Ste 206, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joliet Doctors Clinic S.C. |
|---|---|
| Address | 3033 W Jefferson St Ste 206, Joliet, Illinois |
| Phone Number | 8157303304 |
| Fax Number | 8157303305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | El-Harake Wassim |
| Credentials | MD |
| Telephone Number | 8157303304 |
NPI Number Detail
| NPI Number | 1104838788 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2023-02-09 |
Provider Mailing Address Detail
| Address | 3033 W Jefferson St Ste 206 |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604355252 |
| Phone Number | 8157303304 |
| Fax Number | 8157303305 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626002 | BLUE CROSS | ||
| 001626002IL | IL | BLUE CROSS/BLUE SHIELD | |
| 1626002 | IL | BLUE CROSS | |
| 1626002 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joliet Doctors Clinic S.C.?
The Joliet Doctors Clinic S.C. has been issued the NPI (National Provider Identifier) 1104838788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Joliet Doctors Clinic S.C.'s facilities are situated?
The facilities of Joliet Doctors Clinic S.C. are physically located at the following address: 3033 W Jefferson St Ste 206, Joliet, IL, 604355252.
What is Joliet Doctors Clinic S.C.'s area of expertise and its corresponding taxonomy classification?
The Joliet Doctors Clinic S.C.'s field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1104838788 to Joliet Doctors Clinic S.C.?
The Joliet Doctors Clinic S.C. received its 1104838788 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the Joliet Doctors Clinic S.C.'s details last updated?
The information pertaining to the Joliet Doctors Clinic S.C., including its address, specialty, and other details, was most recently updated on 2023-02-09.
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