Healthcare Provider Details
I. General information
NPI: 1952325615
Provider Name (Legal Business Name): JOLIET HOSPITALISTS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 N MADISON ST
JOLIET IL
60435
US
IV. Provider business mailing address
PO BOX 862
JOLIET IL
60434-0862
US
V. Phone/Fax
- Phone: 815-725-7133
- Fax: 815-722-4645
- Phone: 815-436-6814
- Fax: 815-722-4645
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
JAMES
D
WRIGHT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 815-725-7133