Joliet Young Men'S Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

JOLIET YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

15120 W Wallin Dr
Plainfield, IL 60544-2557

Phone

(815) 267-8600

Fax

(815) 267-8601

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Mr. James D Watts

Title

President/Ceo

Phone

(815) 729-9638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1689120552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 HOUBOLT RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319319",
            "telephone_number": "815-729-9638",
            "fax_number": "815-729-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 W WALLIN DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442557",
            "telephone_number": "815-267-8600",
            "fax_number": "815-267-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "815-729-9638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JK Counseling Inc
• Malik Johnican, RBT
• Kristina R Johnson, PHARM.D.
• Tammy Marie Johnson, LCSW
• Jennie Johnston
• Clarice Suzanne Jonela, M.S.S.A, L.C.S.W.
• Julie Miaczynski Jones, MD
• Nicolette Jones, LPC, ICDVP
• Stanley Robert Jones, R.N.
• Rachel Joplin, MA, LCPC

• Health Educator in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Health Educator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.