INTERNAL MEDICINE & FAMILY PRACTICE, S.C.
NPI 1396825956
Internal Medicine in Joliet, IL

Active since October 17, 2006CLIA 14D0937860 · Waiver
1719 GLENWOOD AVE, JOLIET, IL 60435(815) 741-3532(815) 741-3736 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Internal Medicine & Family Practice, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICINE & FAMILY PRACTICE, S.C. (NPI 1396825956) is a healthcare organization registered as an internal medicine in Joliet, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Shahid Masood, President, as its authorized official.

NPPES Registry Identity

NPI1396825956
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE & FAMILY PRACTICE, S.C.
Location Address1719 GLENWOOD AVEJoliet, IL 60435-5835
Mailing Address1719 Glenwood AveJoliet, IL 60435-5835 · (815) 741-3532 · Fax (815) 741-3736
Fax(815) 741-3736
Organization SubpartNo
Authorized OfficialShahid MasoodPresident · (815) 741-3532
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 16, 2010
NPI 1396825956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1719 GLENWOOD AVE, Joliet, IL 60435

Other Identifiers 1

Medicare ID-Type Unspecified632560IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0937860

Internal Medicine/Family Practice Inc · Joliet, IL
Active · expires May 30, 2027
CLIA Number14D0937860
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorSamiullah Choudry
Laboratory Phone(815) 741-3532
Laboratory LocationInternal Medicine/Family Practice Inc1719 Glenwood Avenue, Joliet, IL 60435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1719 GLENWOOD AVE
JOLIET, IL 60435
Psychiatry & Neurology (Neurology)
1719 GLENWOOD AVE
JOLIET, IL 60435
Psychiatry & Neurology (Neurology)
1719 GLENWOOD AVE
JOLIET, IL 60435
Nurse Practitioner (Family)
1719 GLENWOOD AVE
JOLIET, IL 60435
Internal Medicine
1719 GLENWOOD AVE
JOLIET, IL 60435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine & Family Practice, S.C.'s NPI number?

The NPI number for Internal Medicine & Family Practice, S.C. is 1396825956. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Internal Medicine & Family Practice, S.C. located?

Internal Medicine & Family Practice, S.C. is located at 1719 Glenwood Ave, Joliet, IL 60435. The listed phone number is (815) 741-3532.

What is Internal Medicine & Family Practice, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Internal Medicine & Family Practice, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0937860) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine & Family Practice, S.C. was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.