| Catholic Charities Of The Diocese Of Joliet | |
|
203 N Ottawa St Joliet IL 60432-4006 | |
| (815) 723-0331 | |
| Not Available |
| Full Name | Catholic Charities Of The Diocese Of Joliet |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 N Ottawa St, Joliet, Illinois |
| Authorized Official Name and Position | Jennifer Arellano (CONTROLLER) |
| Authorized Official Contact | 8157233405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Joliet 16555 Weber Rd Crest Hill IL 60403-8719 Ph: (815) 723-0331 | Catholic Charities Of The Diocese Of Joliet 203 N Ottawa St Joliet IL 60432-4006 Ph: (815) 723-0331 |
| NPI Number | 1609953223 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 9931196201 |
|---|---|
| Medicare Enrollment ID | O20040428001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609953223 | NPI | - | NPPES |
| 9932230 | Other | IL | BLUE CROSS BLUE SHIELD |
| Provider Name | Corinna A House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811460108 PECOS PAC ID: 4587017587 Enrollment ID: I20240125004559 |
| Provider Name | Thomas Joseph Cromley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841903754 PECOS PAC ID: 9537501549 Enrollment ID: I20240522002192 |
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