Joliet Doctors Clinic S.C.

LBN: Joliet Doctors Clinic S.C.
Joliet Doctors Clinic S.C. is an health care organization with primary practice located at 3033 W Jefferson St Ste 206 , Joliet IL 60435-5252. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Joliet Doctors Clinic S.C. can be contacted via phone (815) 730-3304, or through El-Harake, Wassim via phone (815) 730-3304.

Contact Information

Primary practice address
3033 W Jefferson St Ste 206 Joliet IL 60435-5252
Phone: (815) 730-3304
Fax: (815) 730-3305
Website:
Map and Directions
Authorized official contact:
Name: El-Harake, Wassim Doctor of Medicine (MD)
Phone: (815) 730-3304

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036102075 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036089327 Illinois

Profile Details

NPI number 1104838788
LBN Legal business name Joliet Doctors Clinic S.C.
DBA Doing business as
Authorized official El-Harake, Wassim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Feb 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104838788 NPPES
Other 001626002 BLUE CROSS
Other 001626002IL BLUE CROSS
Other 001626002 BLUE CROSS
Other 001626002 BLUE CROSS

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