Will County Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WILL COUNTY COMMUNITY HEALTH CENTER

Practice address

350 Blair LN
Bolingbrook, IL 60440-1801

Phone

(815) 727-5961

NPI assigned

Jul 22, 2022

Organization subpart

Yes

Parent organization

WILL COUNTY COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Susan Olenek

Title

Executive Director

Phone

(815) 740-8982

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Will County Community Health Center Brooks Middle Sch Doing business as

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.

• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Monee, IL
  • NPI 1053870204
  NPD tax ID
• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolingbrook, IL
  • NPI 1346772373
  NPD tax ID
• Will County Community Health Center

  • Case Management Agency
  • Joliet, IL
  • NPI 1649748229
  NPD tax ID
• Will County Community Health Center at Will County Health Department

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1487416871
  NPD tax ID

Locations

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.

• Will County Community Health Center

  • Case Management Agency
  • Joliet, IL
  • NPI 1649748229
  NPPES parent name

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1942935986",
    "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": "815-727-5961",
            "fax_number": "815-846-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLAIR LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401801",
            "telephone_number": "815-727-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL COUNTY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILL COUNTY COMMUNITY HEALTH CENTER",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "OLENEK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-740-8982"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HRSA GRANT NUMBER",
            "identifier": "H80CS00476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Will County Community Health Center Brooks Middle Sch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Lynn Wiatrak
• Rachael Wiktor, PA
• Deborah Lea Wilke, LCPC
• Peggy Ann Wilkerson, COTA/L
• Will County Community Health Center
• Will County Health Department
• Will County Health Department
• Will County Health Dept
• Williams-Butler & Associates
• Abigail Williams-Butler, PHD, LCSW, MSW, MS

• Federally Qualified Health Center (FQHC) in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Federally Qualified Health Center (FQHC) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.