WILL-GRUNDY MEDICAL CLINIC, INC – NPI #1306516075
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

WILL-GRUNDY MEDICAL CLINIC, INC is an AHC clinic located in JOLIET, IL. NPPES has assigned the NPI number 1306516075 to WILL-GRUNDY MEDICAL CLINIC, INC on September 15, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Aug 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILL-GRUNDY MEDICAL CLINIC, INC below.

NPI Profile for
WILL-GRUNDY MEDICAL CLINIC, INC

NPI Number
1306516075
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILL-GRUNDY MEDICAL CLINIC, INC
Primary location
213 E CASS ST
JOLIET, IL 60432-2812
Phone: (815) 726-5112 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LASHAWN WEST
EXECUTIVE DIRECTOR
Phone: (815) 726-5112
Updated
Certification Date
Aug 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.