| Joliet Doctors Clinic S.c. | |
|
3033 W Jefferson St Ste 206 Joliet IL 60435-5252 | |
| (815) 730-3304 | |
| (815) 730-3305 |
| Full Name | Joliet Doctors Clinic S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3033 W Jefferson St Ste 206, Joliet, Illinois |
| Authorized Official Name and Position | Wassim El-harake (OWNER) |
| Authorized Official Contact | 8157303304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joliet Doctors Clinic S.c. 3033 W Jefferson St Ste 206 Joliet IL 60435-5252 Ph: (815) 730-3304 | Joliet Doctors Clinic S.c. 3033 W Jefferson St Ste 206 Joliet IL 60435-5252 Ph: (815) 730-3304 |
| NPI Number | 1104838788 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 9436125168 |
|---|---|
| Medicare Enrollment ID | O20040903000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104838788 | NPI | - | NPPES |
| 001626002 | Other | BLUE CROSS | |
| 001626002IL | Other | IL | BLUE CROSS/BLUE SHIELD |
| 001626002 | Other | IL | BLUE CROSS |
| 001626002 | Other | IL | BLUE CROSS BLUE SHIELD |
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