Organization Active NPI

Will-Grundy Medical Clinic, Inc

  • Clinic/Center
  • Joliet, IL
National Provider Identifier
1306516075
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILL-GRUNDY MEDICAL CLINIC, INC
Practice address
213 E Cass St
Joliet, IL 60432-2812
Phone
(815) 726-5112
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Ms. Lashawn West
Title
Executive Director
Phone
(815) 726-5112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

213 E Cass St
Joliet, IL 60432-2812

Mailing address

213 E Cass St
Joliet, IL 60432-2812
Phone (815) 726-5112

Other names 1

  • Will Grundy Medical Clinic, LTD Doing business as

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
14D0912841Will Grundy Medical Clinic213 E Cass St, Joliet, IL 60432Certificate of waiverJul 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Will-Grundy Medical Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1306516075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322812",
            "telephone_number": "815-726-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322812",
            "telephone_number": "815-726-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL-GRUNDY MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "LASHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-726-5112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Will Grundy Medical Clinic, LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Will Grundy Medical Clinic, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2025; 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.