Laureate Joliet Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAUREATE JOLIET OPERATIONS LLC

Practice address

2230 McDonough St
Joliet, IL 60436-1842

Phone

(815) 729-3801

Fax

(708) 729-0977

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Shaun Ahmad

Title

Manager

Phone

(704) 426-8849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1962054619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 BALNTYN CORP PL STE 425",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774420",
            "telephone_number": "704-426-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 MCDONOUGH ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361842",
            "telephone_number": "815-729-3801",
            "fax_number": "708-729-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREATE JOLIET OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-426-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lask, PA
• Erin Marie Laskowski, MHS CCC-SLP
• Maria Rustam Latif, MD
• Kathleen Marie Latta
• Veronica Lauderback
• Amanda Lawal, APRN
• Lawrence E. Sadowski, M.D., LTD.
• Emily Anne Lawrence
• LCR Group LLC
• An D Le, DPM

• Skilled Nursing Facility in Joliet, IL
• Providers in Joliet, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.