| 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 | Psychiatry & Neurology |
| Location | 210 N Hammes Ave, Joliet, Illinois |
| Authorized Official Name and Position | Cosme O Lozano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8157297790 |
| 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 | 07/13/2016 |
| Medicare PECOS PAC ID | 3971662842 |
|---|---|
| Medicare Enrollment ID | O20081106000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760647226 | NPI | - | NPPES |
| 1073518924 | Other | ROSEWOOD NPI | |
| 1295961886 | Other | TONY NPI | |
| 1316103898 | Other | NPI | |
| 1467473462 | Other | TRUM NPI | |
| 1922143320 | Other | HILLCREST NPI | |
| 0136082815 | Medicaid | IL | |
| 1417197690 | Other | MANDY NPI | |
| 1760647226 | Other | NPI | |
| 1922094051 | Other | OUR LADY OF ANGELS NPI | |
| 1487715645 | Other | ST JOE NPI | |
| 1689791360 | Other | SILVER CROSS PSYCH NPI | |
| 1013904739 | Other | SALEM VILLAGE NPI | |
| 1134209364 | Other | JOLIET TERRACE NPI | |
| 1427034651 | Other | DEERBROOK NPI | |
| 1609056001 | Other | FAIRVIEW NPI | |
| 1003976713 | Other | ST JOE PSYCH NPI | |
| 1568553519 | Other | SILVER CROSS NPI | |
| 1407971716 | Other | LAKEWOOD NPI | |
| 1780740209 | Other | EMBASSY NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (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 | Denise A Jabaay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174075568 PECOS PAC ID: 5395077192 Enrollment ID: I20191028003269 |
| 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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Meridian Medical Associates, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 Fax: 815-741-6303 | |
Presence St. Joseph Medical Center - Psychiatric Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Med-advo-c Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Yorkshire Ct, Joliet, IL 60431 Phone: 708-972-9715 Fax: 630-326-3382 | |
Sips Of Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 E Clinton St # B30, Joliet, IL 60432 Phone: 708-308-0453 | |
Promises Of Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Madison St Ste 302, Joliet, IL 60435 Phone: 815-725-7036 Fax: 815-744-3768 |