# PRIME HEALTHCARE ASC - JOLIET LLC

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

## Provider details

- **NPI number:** 1548181720
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 301 MADISON ST STE 100, JOLIET, IL 60435-6651
- **Practice address phone:** (815) 744-1119
- **Mailing address:** 301 MADISON ST STE 100, JOLIET, IL 60435-6651
- **Mailing address phone:** (815) 744-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2026
- **Last updated:** 07/23/2026