MEDICARE: JOLIET PEDIATRICS AND FAMILY CARE INC

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
1	208000000X	Pediatrics Physician
2	261QP2300X	Primary Care Clinic/Center	036089109	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619193760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOLIET PEDIATRICS AND FAMILY CARE INC

Provider Business Mailing Address
First Line	:	831 NORTH LARKIN AVE
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435
Country	:	US
Telephone Number	:	815-741-8888
Fax Number	:	815-730-3323

Provider Business Practice Location Address
First Line	:	831 NORTH LARKIN AVE
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-3460
Country	:	US
Telephone Number	:	815-741-8888
Fax Number	:	815-730-3323

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHERAHSAN KHAN NIAZI
Credential	:	MD
Telephone Number	:	815-741-8888

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	04/22/2025

Similar Medicare Providers

1912035734 — MRS. CHRISTINA MARIE SIMON P.T.
Practice Location Address:

1504 ESSINGTON RD STE B
JOLIET, IL
60435-2871

Practice Phone: 630-967-2000
Practice Fax: 815-314-5170

1881057917 — DIANA MARIE STEFANIK APN
Practice Location Address:

951 ESSINGTON RD
JOLIET, IL
60435-8439

Practice Phone: 630-323-6116
Practice Fax:

1700752730 — JAKUB JAN SKORUPA
Practice Location Address:

692 ESSINGTON RD UNIT A
JOLIET, IL
60435-4903

Practice Phone: 815-247-4911
Practice Fax:

1144362567 — JOLIET PROFESSIONAL PHARMACY CORP.
Practice Location Address:

2401 W JEFFERSON ST STE 200
JOLIET, IL
60435-6428

Practice Phone: 815-725-9315
Practice Fax: 815-725-3372

1306779467 — SIREESHA MURALA MD
Practice Location Address:

812 CAMPUS DR
JOLIET, IL
60435-5128

Practice Phone: 815-741-6830
Practice Fax:

1932426285 — MEDWORKS JOLIET CORP
Practice Location Address:

815 CAMPUS DRIVE
JOLIET, IL
60435

Practice Phone: 815-744-0808
Practice Fax: 815-744-8345

Directions to “JOLIET PEDIATRICS AND FAMILY CARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.