WILL COUNTY COMMUNITY HEALTH CENTER (NPI# 1053870204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053870204 |
| Entity Type | Organization |
| Organization Name | WILL COUNTY COMMUNITY HEALTH CENTER |
| Practice Address |
5601 W Monee Manhattan Rd Ste 109 Monee IL 60449-8864 |
| Practice Telephone | 8157278670 |
| Practice Fax Number | 8158468932 |
| Mailing Telephone | 8157278670 |
| Mailing Fax Number | 8158468932 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | SUSAN OLENEK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8157408982 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILL COUNTY COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HRSA GRANT NUMBER | H80CS00476 | 01 |
| Other Name | Type Code |
|---|---|
| Will County Community Health Center East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649748229 | Will County Community Health Center | Case Management | 1106 Neal Ave, Joliet, IL 60433-2548 | 2018-11-13 |
| 1346772373 | Will County Community Health Center | Clinic/Center | 323 Quadrangle Dr, Bolingbrook, IL 60440-3409 | 2017-03-29 |
| 1902811714 | Will County Community Health Center | Clinic/Center | 1106 Neal Ave, Joliet, IL 60433-2548 | 2006-07-30 |
| Street Address |
5601 W MONEE MANHATTAN RD STE 109 |
| City | MONEE |
| State | IL |
| Zip Code | 60449-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679642 | Esperanza Camacho | Registered Nurse | 25841 Geranium Lane, Monee, IL 60449 | 2014-04-15 |
| 1346277480 | Laura Marie Healy | Nurse Practitioner | 25711 S Egyptian Trl, Monee, IL 60449 | 2006-06-26 |
| 1992731756 | Monee Fire Protection District | Ambulance | 5500 W Main St, Monee, IL 60449 | 2006-06-23 |
| 1952697310 | Will County Health Department | Clinic/Center | 5601 W Monee Manhattan Rd, Suite 107-110, Monee, IL 60449 | 2011-06-23 |
| 1740534098 | Gregory M Brown Dpm PC | Podiatrist | 4550 W Iris Ln, Monee, IL 60449-4401 | 2012-11-07 |
| 1891285102 | Mary Victoria Wessels | Behavior Technician | 25748 S Kensington Ln, Monee, IL 60449-7220 | 2018-05-11 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1568917318 | Danielle Kowach | Social Worker | 5310 W Court St, Monee, IL 60449-8061 | 2016-08-22 |
| 1538413604 | Renee J Davis | Massage Therapist | 26011 Compass Rd, Monee, IL 60449-8077 | 2012-10-29 |
| 1285967570 | Lara Marie Speroff | Behavioral Analyst | 25915 Derby Dr, Monee, IL 60449-8085 | 2009-09-17 |
| Find all providers in zip 60449 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.