Organization · Type 2 NPI

Will County Community Health Center

Federally Qualified Health Center (FQHC) · Monee, IL

NPI number 1053870204 Active

Practice location

5601 W Monee Manhattan Rd Ste 109
Monee, IL 60449-8864

Fax (815) 846-8932

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1053870204
Entity type: Organization (Type 2)
Issued: Mar 18, 2019
Last updated: Mar 18, 2019
Status: Active
Subpart: Yes of Will County Community Health Center

Other names

Will County Community Health Center East · doing business as

Authorized official

Susan Olenek
Executive Director
(815) 740-8982

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053870204

Will County Community Health Center's National Provider Identifier is 1053870204, issued on Mar 18, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Monee, IL. The record was last updated on Mar 18, 2019.