Joliet Surgical Facility

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOLIET SURGICAL FACILITY

Practice address

2121 Oneida St
Ste 300
Joliet, IL 60435-6544

Phone

(815) 730-6800

Fax

(815) 730-6868

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Scott Richard Anderson

Title

Practice Administrator

Phone

(630) 568-2624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982781985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 LEMONT RD",
            "address_2": "STE 200",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611800",
            "telephone_number": "630-598-2624",
            "fax_number": "630-598-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ONEIDA ST",
            "address_2": "STE 300",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356544",
            "telephone_number": "815-730-6800",
            "fax_number": "815-730-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET SURGICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-568-2624",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joliet School District 86
• Joliet Skilled Nursing Facility LLC
• Joliet Sleep Center Inc
• Joliet Smile World Dental Center, Inc.
• Joliet Surgery Center Limited Partnership
• Joliet Surgicare, P.C.
• Joliet Terrace Operator LLC
• Joliet TWP HS Fist 204
• Joliet Womens Health Center
• Evelyn Jones, APRN

• All providers in Joliet, IL
• Specialist 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.