Organization Active NPI

Joliet Surgicare, P.C.

  • Podiatrist
  • Joliet, IL
National Provider Identifier
1346388063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JOLIET SURGICARE, P.C.
Practice address
330 Madison St
Joliet, IL 60435-6565
Phone
(815) 744-3338
Fax
(815) 744-8471
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen Agnich
Title
Doctor
Phone
(815) 744-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

330 Madison St
Joliet, IL 60435-6565

Mailing address

PO Box 2577
Joliet, IL 60434-2577
Phone (815) 744-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346388063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2577",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604342577",
            "telephone_number": "815-744-3338",
            "fax_number": "815-744-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356565",
            "telephone_number": "815-744-3338",
            "fax_number": "815-744-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET SURGICARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGNICH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-744-3338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.