Organization
JOLIET DOCTORS CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASSIM EL-HARAKE MD (OWNER)
(815) 730-3304
Entity
Organization
Contact information
Practice address
3033 W JEFFERSON ST STE 206, JOLIET, IL 60435-5252
(815) 730-3304
(815) 730-3305
Mailing address
3033 W JEFFERSON ST STE 206, JOLIET, IL 60435-5252
(815) 730-3304
(815) 730-3305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
036102075
IL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036089327
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001626002
BLUE CROSS
IL
01
—
001626002
BLUE CROSS
—
01
—
001626002IL
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/12/2006
Last updated
02/09/2023
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