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Organization

JOLIET CENTER FOR CLINICAL RESEARCH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE L HARRIS (OFFICE MANAGER)
(815) 729-7790
Entity
Organization

Contact information

Practice address
210 N HAMMES AVE STE 205, JOLIET, IL 60435-8139
(815) 729-7790
(815) 725-8144
Mailing address
210 N HAMMES AVE STE 205, JOLIET, IL 60435-8139
(815) 729-7790
(815) 725-8144

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
2084P0800X
Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
07/24/2008
Last updated
03/24/2026
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