| Joliet Center For Clinical Research, Inc | |
|
210 N Hammes Ave Suite 205 Joliet IL 60435-8139 | |
| (815) 729-7790 | |
| (815) 725-8144 |
| Full Name | Joliet Center For Clinical Research, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 N Hammes Ave, Joliet, Illinois |
| Authorized Official Name and Position | Cosme O Lozano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6304081099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joliet Center For Clinical Research, Inc 210 N Hammes Ave Suite 205 Joliet IL 60435-8139 Ph: (815) 729-7790 | Joliet Center For Clinical Research, Inc 210 N Hammes Ave Suite 205 Joliet IL 60435-8139 Ph: (815) 729-7790 |
| NPI Number | 1760647226 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 3971662842 |
|---|---|
| Medicare Enrollment ID | O20081106000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760647226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cosme Lozano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336160597 PECOS PAC ID: 0143127977 Enrollment ID: I20031218000386 |
| Provider Name | Cheryl H Culen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972796266 PECOS PAC ID: 7315020161 Enrollment ID: I20080216000099 |
| Provider Name | Victoria D Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265618870 PECOS PAC ID: 7911084850 Enrollment ID: I20080402000884 |
| Provider Name | Amanda A Twait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417197690 PECOS PAC ID: 5799831921 Enrollment ID: I20090914000228 |
| Provider Name | Richard L Madison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407988520 PECOS PAC ID: 7618159070 Enrollment ID: I20110307001028 |
| Provider Name | Judy L Carino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073846440 PECOS PAC ID: 3779754387 Enrollment ID: I20110912000292 |
| Provider Name | Lynn Renee Lochner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801238282 PECOS PAC ID: 1557344702 Enrollment ID: I20131106001546 |
| Provider Name | Kathleen Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184021461 PECOS PAC ID: 5193046290 Enrollment ID: I20150601002383 |
| Provider Name | Lauren Elizabeth Mahaffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356888184 PECOS PAC ID: 3971886250 Enrollment ID: I20170210002105 |
| Provider Name | Samantha Jean Tippy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093445249 PECOS PAC ID: 4688058050 Enrollment ID: I20220902001168 |
| Provider Name | Gianna Kathleen Capperino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790354058 PECOS PAC ID: 2769824341 Enrollment ID: I20240528003431 |
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