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NPI Code Detail

MEDICARE: WILL GRUNDY MEDICAL CENTER

MEDICARE: WILL GRUNDY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1053252668
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILL GRUNDY MEDICAL CENTER
Provider Business Mailing Address
First Line : 213 E CASS ST
Second Line :
City : JOLIET
State : IL
Zip : 60432-2812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 213 E CASS ST
Second Line :
City : JOLIET
State : IL
Zip : 60432-2812
Country : US
Telephone Number : 815-726-3377
Fax Number : 815-726-3377
Authorized Official
Title or Position : CEO
Name : LASHAWN WEST
Credential :
Telephone Number : 815-726-3377
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “WILL GRUNDY MEDICAL CENTER ” Practice Location

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