Joliet Doctors Clinic S.C.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036089327 Issued in IL

Legal business name

JOLIET DOCTORS CLINIC S.C.

Practice address

3033 W Jefferson St Ste 206
Joliet, IL 60435-5252

Phone

(815) 730-3304

Fax

(815) 730-3305

NPI assigned

Aug 12, 2006

Last updated

Feb 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wassim El-Harake, MDNPI 1346236098

Title

Owner

Phone

(815) 730-3304

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wassim El-Harake, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Joliet, IL
  • NPI 1346236098
  Authorized official Same address or phone
• Karim Tourk, M.D.

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1679569347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1104838788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST STE 206",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355252",
            "telephone_number": "815-730-3304",
            "fax_number": "815-730-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST STE 206",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355252",
            "telephone_number": "815-730-3304",
            "fax_number": "815-730-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET DOCTORS CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "EL-HARAKE",
        "authorized_official_first_name": "WASSIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-730-3304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036102075",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036089327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001626002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001626002IL",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001626002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001626002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joliet Behavioral Center, Inc
• Joliet Cardiology Center SC
• Joliet Center for Clinical Research, Inc
• Joliet Diabetes & Endocrinology Associates Inc
• Joliet Dialysis LLC (Hickory Creek Dialysis)
• Joliet Foot Care Center, PC
• Joliet Hospitalists Group, LLC
• Joliet Living & Rehab Center LLC
• Joliet NH LLC (River Crossing of Joliet)
• Joliet Oncology Hematology Associates LTD

• Endocrinology, Diabetes & Metabolism Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.