Catholic Charities Of The Diocese Of Joliet | |
203 N Ottawa St Joliet IL 60432-4006 | |
(815) 723-0331 | |
Not Available |
Full Name | Catholic Charities Of The Diocese Of Joliet |
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Speciality | Clinic/Center |
Location | 203 N Ottawa St, Joliet, Illinois |
Authorized Official Name and Position | Jennifer Arellano (CONTROLLER) |
Authorized Official Contact | 8157233405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Charities Of The Diocese Of Joliet 16555 Weber Rd Crest Hill IL 60403-8719 Ph: (815) 723-0331 | Catholic Charities Of The Diocese Of Joliet 203 N Ottawa St Joliet IL 60432-4006 Ph: (815) 723-0331 |
NPI Number | 1609953223 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 11/30/2023 |
Certification Date | 11/30/2023 |
Medicare PECOS PAC ID | 9931196201 |
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Medicare Enrollment ID | O20040428001010 |
Identifier | Type | State | Issuer |
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1609953223 | NPI | - | NPPES |
9932230 | Other | IL | BLUE CROSS BLUE SHIELD |
Provider Name | Corinna A House |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811460108 PECOS PAC ID: 4587017587 Enrollment ID: I20240125004559 |
Provider Name | Thomas Joseph Cromley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841903754 PECOS PAC ID: 9537501549 Enrollment ID: I20240522002192 |
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