WILL COUNTY COMMUNITY HEALTH CENTER (NPI# 1902811714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902811714 |
Entity Type | Organization |
Organization Name | WILL COUNTY COMMUNITY HEALTH CENTER |
Practice Address |
1106 Neal Ave Joliet IL 60433-2548 |
Practice Telephone | 8157278670 |
Practice Fax Number | 8157278852 |
Mailing Telephone | 8157278670 |
Mailing Fax Number | 8157278852 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-11-09 |
Authorized Official Name | SUSAN OLENEK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8157408982 |
Is Organization Subpart | Y |
Parent Organization Name | WILL COUNTY HEALTH DEPT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
========= | IL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053870204 | Will County Community Health Center | Clinic/Center | 5601 W Monee Manhattan Rd Ste 109, Monee, IL 60449-8864 | 2019-03-18 |
1649748229 | Will County Community Health Center | Case Management | 1106 Neal Ave, Joliet, IL 60433-2548 | 2018-11-13 |
1346772373 | Will County Community Health Center | Clinic/Center | 323 Quadrangle Dr, Bolingbrook, IL 60440-3409 | 2017-03-29 |
Street Address |
1106 NEAL AVE |
City | JOLIET |
State | IL |
Zip Code | 60433-2548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770540585 | Howard William Ehrman | Family Medicine | 1106 Neal Ave, Will County Community Health Center, Joliet, IL 60433-2548 | 2006-04-26 |
1790390797 | Amanda J Lemay | Nurse Practitioner | 1106 Neal Ave, Joliet, IL 60433-2548 | 2020-09-15 |
1891256517 | Marisa Ruiz | Nurse Practitioner | 1106 Neal Ave, Joliet, IL 60433-2548 | 2019-03-26 |
1649748229 | Will County Community Health Center | Case Management | 1106 Neal Ave, Joliet, IL 60433-2548 | 2018-11-13 |
1962952283 | Basinger's Pharmacy, Inc | Pharmacy | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-10-11 |
1306298096 | Janel Draxler | Registered Nurse | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-07-06 |
1366892309 | Olubanwo Abejide | Dentist | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-06-21 |
1689028953 | Anusha Khapekar | Pediatrics | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-04-22 |
1487050654 | Pranjali Vadgaonkar | Obstetrics & Gynecology | 1106 Neal Ave, Joliet, IL 60433-2548 | 2014-11-14 |
1396146833 | Danish Hangora | Psychiatry & Neurology | 1106 Neal Ave, Joliet, IL 60433-2548 | 2014-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710105978 | Aparna Gottumukkula | Dentist | 1106 Neal Avenue, Joliet, IL 60433 | 2007-04-23 |
1932114758 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2006-07-30 |
1346481082 | Will County Health Dept | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2009-03-10 |
1588819544 | Will County Health Department | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2008-11-18 |
1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
1053911479 | Demitrius Brackett | Clinic/Center | 350 E Washington St, Joliet, IL 60433-1150 | 2020-10-26 |
1326541566 | Ready To Go LLC | Non-emergency Medical Transport (VAN) | 119 Logan Ave, Joliet, IL 60433-1262 | 2018-03-14 |
1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
Find all providers in zip 60433 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
1346539970 | Yellowstone City County Health Department | Clinic/Center | 209 East Front Avenue, Joliet, MT 59041 | 2011-04-05 |
1295104958 | Vna Health Care | Clinic/Center | 2400 Glenwood Ave, Suite 220, Joliet, IL 60435-5474 | 2015-09-23 |
1821346115 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 311 N Ottawa St, Suite 1, Joliet, IL 60432-4048 | 2012-08-17 |
1295083574 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 500 Wilcox St, Suite 234, Joliet, IL 60435-6169 | 2012-08-17 |
1174809503 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1301 Copperfield Avenue, Suite 201, Joliet, IL 60432-2056 | 2011-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.