Organization
PRIMARY CARE PHYSICIANS OF JOLIET SC
Active
Other names
Yatin M Shah MDSC
Organization subpart
No
Provider details
NPI number
Authorized official
MITI G SHAH (PRACTICE MANAGER)
(815) 726-2200
Entity
Organization
Contact information
Practice address
2025 S CHICAGO ST STE 1, JOLIET, IL 60436-3173
(815) 726-2200
(815) 582-3253
Mailing address
2025 S CHICAGO ST STE 1, JOLIET, IL 60436-3173
(815) 726-2200
(815) 582-3253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/27/2025
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