JOLIET DOCTORS CLINIC S.C.
NPI 1104838788
Internal Medicine - Endocrinology, Diabetes & Metabolism in Joliet, IL

NPI Status: Active since August 12, 2006

Contact Information

3033 W JEFFERSON ST STE 206
JOLIET, IL
ZIP 60435
Phone: (815) 730-3304
Fax: (815) 730-3305

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • Accepts Insurance

About JOLIET DOCTORS CLINIC S.C.

This page provides the complete NPI Profile along with additional information for Joliet Doctors Clinic S.c., an internist established in Joliet, Illinois operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1104838788 assigned on August 2006. The practitioner's primary taxonomy code is 207RE0101X with license number 036089327 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. Joliet Doctors Clinic S.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Wassim El-harake Md (Owner)

NPI
1104838788
Provider Name
JOLIET DOCTORS CLINIC S.C.
Entity Type
Organization
Location Address
3033 W JEFFERSON ST STE 206 JOLIET, IL 60435
Location Phone
(815) 730-3304
Location Fax
(815) 730-3305
Mailing Address
3033 W JEFFERSON ST STE 206 JOLIET, IL 60435
Mailing Phone
(815) 730-3304
Mailing Fax
(815) 730-3305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2006
Last Update Date
02-09-2023
Code Navigator

An internist like Joliet Doctors Clinic S.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
036089327
License State
IL
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

036102075 (IL)
4207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WASSIM EL-HARAKE MD

Authorized Official Title
OWNER
Authorized Official Phone
(815) 730-3304

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001626002OTHER (01)BLUE CROSS
001626002ILOTHER (01)ILBLUE CROSS/BLUE SHIELD
001626002OTHER (01)ILBLUE CROSS
001626002OTHER (01)ILBLUE CROSS BLUE SHIELD

Reviews for JOLIET DOCTORS CLINIC S.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104838788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416316716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 3 + 1 + 6 + 7 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1104838788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346236098DR. WASSIM EL-HARAKE M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3033 W JEFFERSON ST STE 206
JOLIET, IL 60435
(815) 730-3304
1679358121 LAUREN WOJTKOWSKI FNP-C
Individual
Nurse Practitioner (Family)3033 W JEFFERSON ST STE 206
JOLIET, IL 60435
(815) 730-3304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104838788, enumerated in the NPI registry as an "organization" on August 12, 2006

The provider is located at 3033 W Jefferson St Ste 206 Joliet, Il 60435 and the phone number is (815) 730-3304

This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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