JOLIET MEDICAL CENTER – NPI #1215342829
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

JOLIET MEDICAL CENTER is a provider located in JOLIET, IL. NPPES has assigned the NPI number 1215342829 to JOLIET MEDICAL CENTER on June 23, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JOLIET MEDICAL CENTER” is a dba name, the actual legal business name for this organization is ILLINOIS WELLNESS GROUP OF JOLIET, LTD. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Oct 02, 2015. 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 JOLIET MEDICAL CENTER below.

NPI Profile for
ILLINOIS WELLNESS GROUP OF JOLIET, LTD

NPI Number
1215342829
Enumeration Date

(about 12 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
ILLINOIS WELLNESS GROUP OF JOLIET, LTD
Doing Business As (dba): JOLIET MEDICAL CENTER
Primary location
815 N LARKIN AVE
SUITE 105
JOLIET, IL 60435-3438
Phone: (815) 714-2271 Fax: (815) 582-3262
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRETT NASH
OWNER
Phone: (815) 714-2271
Updated
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
208D00000X
- General Practice (Primary)

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.