Primary Care Physicians of Joliet SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARY CARE PHYSICIANS OF JOLIET SC

Practice address

2025 S Chicago St Ste 1
Joliet, IL 60436-3173

Phone

(815) 726-2200

Fax

(815) 582-3253

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Miti G Shah

Title

Practice Manager

Phone

(815) 726-2200

Specialties & licenses 3

Addresses

Other names 1

• Yatin M Shah MDSC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Aladin, M.D.

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1538546791
  Medicare reassignment Care Compare group NPD
• Larissa Chaidez

  • Family Nurse Practitioner
  • Wilmington, IL
  • NPI 1437013125
  Medicare reassignment Care Compare group NPD
• Allison Curran

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1255467858
  Medicare reassignment Care Compare group NPD
• Jennifer L. Haas, APN

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1295449486
  Medicare reassignment Care Compare group NPD
• Ariel Paige Eder Huertas, MSN, FNP-BC

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1538816459
  Medicare reassignment Care Compare group NPD
• Melwin Joseph, DO

  • Internal Medicine Physician
  • Westmont, IL
  • NPI 1245720671

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emily Anne Lawrence

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1629545595
  Medicare reassignment Care Compare group NPD
• Sharelle Mershon, APRN, FNP-BC

  • Family Nurse Practitioner
  • Shorewood, IL
  • NPI 1447910179
  Medicare reassignment Care Compare group NPD
• Melisa Morales

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1922203595
  Medicare reassignment Care Compare group NPD
• Geraldine Bemabou Ntum, N.P.

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1669845434
  Medicare reassignment Care Compare group NPD
• Kristin Ojei

  • Family Nurse Practitioner
  • Willowbrook, IL
  • NPI 1366204620
  Medicare reassignment Care Compare group NPD
• Mazouzah Omar, DNP

  • Acute Care Nurse Practitioner
  • Chicago, IL
  • NPI 1497381941
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1912473604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363173",
            "telephone_number": "815-726-2200",
            "fax_number": "815-582-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363173",
            "telephone_number": "815-726-2200",
            "fax_number": "815-582-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604351603",
            "country_code": "US",
            "telephone_number": "815-726-2200",
            "fax_number": "815-582-3253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Robert P Weidling Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "IL",
            "postal_code": "604811679",
            "country_code": "US",
            "telephone_number": "815-726-2200",
            "fax_number": "815-582-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF JOLIET SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MITI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "815-726-2200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yatin M Shah MDSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melanie Presnak, SLP
• Prestigious Nurse Healthcare LLC (Prestigious Nurse Home Care)
• Gregory D Price, D.O.
• Timothy Ray Price, CPO
• Primary Care Physicans
• Primary Pharmacy Inc (Basingers Primary Care Pharmacy)
• Prime Healthcare ASC - Joliet LLC
• Prime Healthcare Home Care and Hospice, LLC
• Prime Healthcare Home Care and Hospice, LLC
• Prime Healthcare Home Care LLC

• Primary Care Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.