Organization Active NPI

Hussein Orellana LTD

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1326224643
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Abdulhamid Taha Hussein, MDNPI 1932158896
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036-110260OtherILSTATE LIC #
036-107501OtherILSTATE LIC #

Other names 1

  • Santa Fe Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000386 IL Part B Supplier - Clinic/Group Practice 5193897270 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, IL; Joliet, IL

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
14D1087604Santa Fe Family Health Center720 Collins Street, Unit B, Joliet, IL 60432Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.