Active NPI
Joliet Outpatient Center, LLC
- Surgery Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1036777 | Joliet Outpatient Center LLC | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic and Reconstructive Surgery Physician
- Joliet, IL
- NPI 1689878480
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
- Joliet Oncology Hematology Associates LTD
- Joliet Oncology Hematology Associates LTD.
- Joliet Oncology-Hematology Associates LTD (Reflections)
- Joliet Open MRI, LLC
- Joliet Oral Surgeons
- Joliet Pain Care Center
- Joliet Pediatrics and Family Care Inc
- Joliet Professional Pharmacy Corp.
- Joliet Radiological Service Corp
- Joliet School District 86
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.