Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JOLIET PROFESSIONAL PHARMACY CORP.
Active
Organization
JOLIET PROFESSIONAL PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KODIAK (PRESIDENT)
(815) 725-9314
Entity
Organization
Contact information
Practice address
2401 W JEFFERSON ST STE 200, JOLIET, IL 60435-6428
(815) 725-9315
(815) 725-3372
Mailing address
2401 W JEFFERSON ST STE 200, JOLIET, IL 60435-7830
(815) 725-9314
(815) 725-7032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-004174
IL
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
054-004174
IL
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up