NPIMap

Organization Active NPI

Easter Seals Joliet Region Inc.

  • Developmental Disabilities Clinic/Center
  • Joliet, IL
National Provider Identifier
1992708960
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
CO01038599 Issued in IL
Legal business name
EASTER SEALS JOLIET REGION INC.
Practice address
212 Barney Dr
Joliet, IL 60435-5271
Phone
(815) 725-2194
Fax
(815) 725-5150
NPI assigned
May 24, 2005
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Debbie Condotti, M.A. CRC
Title
President
Phone
(815) 725-2194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X CO01038599 IL Primary

Addresses

Primary practice location

212 Barney Dr
Joliet, IL 60435-5271

Mailing address

212 Barney Dr
Joliet, IL 60435-5271
Phone (815) 725-2194

Other names 1

  • Easter Seal Rehabilitation Center of Will-Grundy Counties, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Rehabilitation Center of Will-Grundy Counties Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 E North St
Bradley, IL 60915

521 E North St
Bradley, IL 60915
Phone (815) 725-2194

212 Barney Dr
Joliet, IL 60435
Phone (815) 725-2194

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1992708960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BARNEY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355271",
            "telephone_number": "815-725-2194",
            "fax_number": "815-725-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BARNEY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355271",
            "telephone_number": "815-725-2194",
            "fax_number": "815-725-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS JOLIET REGION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CONDOTTI",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-2194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. CRC"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "IL",
            "license": "CO01038599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seal Rehabilitation Center of Will-Grundy Counties, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.