Healthcare Provider Details

I. General information

NPI: 1225803091
Provider Name (Legal Business Name): ALL WELL MEDICAL CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HEMPSTEAD PL STE 1D
JOLIET IL
60433-1749
US

IV. Provider business mailing address

101 HEMPSTEAD PL STE 1D
JOLIET IL
60433-1749
US

V. Phone/Fax

Practice location:
  • Phone: 815-485-4610
  • Fax: 815-485-4613
Mailing address:
  • Phone: 815-485-4610
  • Fax: 815-485-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAKESHKUMAR PATEL
Title or Position: PRESIDENT
Credential: NP
Phone: 331-401-5107