# JOLIET DOCTORS CLINIC S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104838788
- **Authorized official:** WASSIM EL-HARAKE MD (OWNER)
- **Authorized official phone:** (815) 730-3304

## Contact information

- **Practice address:** 3033 W JEFFERSON ST STE 206, JOLIET, IL 60435-5252
- **Practice address phone:** (815) 730-3304
- **Practice address fax:** (815) 730-3305
- **Mailing address:** 3033 W JEFFERSON ST STE 206, JOLIET, IL 60435-5252
- **Mailing address phone:** (815) 730-3304
- **Mailing address fax:** (815) 730-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | 036102075 | IL | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036089327 | IL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 02/09/2023