Active NPI
Hussein Orellana LTD
- Family Medicine Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUSSEIN ORELLANA LTD
- Practice address
- 720 Collins St
Joliet, IL 60432-1615 - Phone
- (815) 582-3565
- Fax
- (815) 582-3818
- NPI assigned
- Jan 16, 2008
- 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. Abdulhamid Taha Hussein, MD
- Title
- Owner
- Phone
- (708) 955-1793
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
720 Collins St
Joliet, IL 60432-1615
Mailing address
720 Collins St Ste B
Joliet, IL 60432-1628
Phone (708) 955-1793
Other practice location 1
205 Clark St
Aurora, IL 60505-4240
Phone (630) 229-6262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-110260 | Other | IL | STATE LIC # |
| 036-107501 | Other | IL | STATE LIC # |
Other names 1
- Santa Fe Family Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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 |
|---|---|---|---|
| 14D1087604 | Santa Fe Family Health Center | Certificate of waiver | Aug 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
720 Collins St
Ste B
Joliet, IL 60432
Phone (708) 855-1793
720 Collins St
Joliet, IL 60432
Phone (815) 582-3565
720 Collins St
Ste F
Joliet, IL 60432
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Joliet, IL
- NPI 1932158896
-
- Family Medicine Physician
- Joliet, IL
- NPI 1003882259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1326224643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 COLLINS ST STE B",
"city": "JOLIET",
"state": "IL",
"postal_code": "604321628",
"telephone_number": "708-955-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 COLLINS ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604321615",
"telephone_number": "815-582-3565",
"fax_number": "815-582-3818"
}
],
"practiceLocations": [
{
"address_1": "205 Clark St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605054240",
"country_code": "US",
"telephone_number": "630-229-6262",
"fax_number": "630-299-3742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HUSSEIN ORELLANA LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "ABDULHAMID",
"authorized_official_middle_name": "TAHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-955-1793",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC #",
"identifier": "036-110260",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC #",
"identifier": "036-107501",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Fe Family Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Santa Fe Family Health Center",
"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 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.