Healthcare Provider Details

I. General information

NPI: 1003871021
Provider Name (Legal Business Name): WHJ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 THEODORE ST
JOLIET IL
60435-2443
US

IV. Provider business mailing address

600 THEODORE ST
JOLIET IL
60435-2443
US

V. Phone/Fax

Practice location:
  • Phone: 815-722-4240
  • Fax: 815-722-4280
Mailing address:
  • Phone: 815-722-4240
  • Fax: 815-722-4280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2866
License Number StateIL

VIII. Authorized Official

Name: MR. EVERETT L HOLMES
Title or Position: VICE-PRESIDENT
Credential:
Phone: 815-722-4240