Service of Will, Grundy & Kankakee Counties, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SERVICE OF WILL, GRUNDY & KANKAKEE COUNTIES, INC

Practice address

1740 McDonough St
Joliet, IL 60436-1219

Phone

(815) 741-0800

Fax

(815) 741-1678

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Walter Bell, MA

Title

Executive Director

Phone

(815) 741-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891905097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MCDONOUGH ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361219",
            "telephone_number": "815-741-0800",
            "fax_number": "815-741-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MCDONOUGH ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361219",
            "telephone_number": "815-741-0800",
            "fax_number": "815-741-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE OF WILL, GRUNDY & KANKAKEE COUNTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-741-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Services Center of Will County
• Carley Marie Serena
• Serenity Counseilng Services
• Jessica Serna
• Philip Serna, M.D.
• Usha Setlur, M.D
• Mohammad Sameer Shafi, M.D.
• Bhavin Chandrakant Shah, MD
• Kalpana Tushar Shah, D.M.D.
• Niraj Yatin Shah, M.D.

• Case Management Agency in Joliet, IL
• Providers in Joliet, IL by specialty
• Case Management Agency in Illinois

• 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.