# WILL-GRUNDY MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Will Grundy Medical Clinic, LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306516075
- **Authorized official:** MS. LASHAWN WEST (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (815) 726-5112

## Contact information

- **Practice address:** 213 E CASS ST, JOLIET, IL 60432-2812
- **Practice address phone:** (815) 726-5112
- **Mailing address:** 213 E CASS ST, JOLIET, IL 60432-2812
- **Mailing address phone:** (815) 726-5112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 08/14/2025