NPIMap

Organization Active NPI

Will County Community Health Center at Will County Health Department

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
National Provider Identifier
1487416871
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WILL COUNTY COMMUNITY HEALTH CENTER AT WILL COUNTY HEALTH DEPARTMENT
Practice address
501 Ella Ave
Joliet, IL 60433-2799
Phone
(815) 727-5961
Fax
(815) 849-8932
NPI assigned
Jan 30, 2024
Organization subpart
Yes
Parent organization
WILL COUNTY COMMUNITY HEALTH CTRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Denise Bergin
Title
Assistant Executive Director
Phone
(815) 774-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

501 Ella Ave
Joliet, IL 60433-2799

Mailing address

1106 Neal Ave
Joliet, IL 60433-2548
Phone (815) 727-8670

Other names 1

  • Will County Community Health Ctr at WCHD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Will County Community Health Center at Will County Health Department5 organizations share this tax ID, including this one
Part of
Will County Community Health Center at Will County Health Department

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1487416871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 NEAL AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332548",
            "telephone_number": "815-727-8670",
            "fax_number": "815-849-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ELLA AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332799",
            "telephone_number": "815-727-5961",
            "fax_number": "815-849-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL COUNTY COMMUNITY HEALTH CENTER AT WILL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILL COUNTY COMMUNITY HEALTH CTR",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-774-7323"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Will County Community Health Ctr at WCHD",
            "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 Feb 5, 2024; 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.