Organization Active NPI

Joliet Outpatient Center, LLC

  • Surgery Physician
  • Joliet, IL
National Provider Identifier
1235354713
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOLIET OUTPATIENT CENTER, LLC
Practice address
823 129TH Infantry Dr
Suite 102
Joliet, IL 60435-8346
Phone
(815) 730-9888
Fax
(815) 741-9868
NPI assigned
Apr 17, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Alan H. Chen, M.D.NPI 1689878480
Title
Manager
Phone
(815) 730-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

823 129TH Infantry Dr
Suite 102
Joliet, IL 60435-8346

Mailing address

823 129TH Infantry Dr
Suite 102
Joliet, IL 60435-8346
Phone (815) 730-9888

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1036777Joliet Outpatient Center LLC823 129TH Infantry Dr RM 103, Joliet, IL 60435Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

823 N 129th Infantry Dr
Ste 102
Joliet, IL 60435
Phone (815) 730-9888

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1235354713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 129TH INFANTRY DR",
            "address_2": "SUITE 102",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-730-9888",
            "fax_number": "815-741-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 129TH INFANTRY DR",
            "address_2": "SUITE 102",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-730-9888",
            "fax_number": "815-741-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET OUTPATIENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-730-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.