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ENDO-MED CLINIC SC
NPI 1538519251
Specialist in Joliet, IL

Active since June 14, 2016CLIA 14D2115248 · Waiver
2450 GLENWOOD AVE, JOLIET, IL 60435(815) 730-3304(815) 730-3305 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Endo-med Clinic Sc NPPES

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

ENDO-MED CLINIC SC (NPI 1538519251) is a healthcare organization registered as a specialist in Joliet, Illinois and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Wassim El-harake, President, as its authorized official.

NPPES Registry Identity

NPI1538519251
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameENDO-MED CLINIC SC
Location Address2450 GLENWOOD AVEJoliet, IL 60435-5463
Mailing Address2450 Glenwood AveJoliet, IL 60435-5463 · (815) 730-3304 · Fax (815) 730-3305
Phone(815) 730-3304
Fax(815) 730-3305
Organization SubpartNo
Authorized OfficialWassim El-harakePresident · (815) 730-3304
Enumeration DateJune 14, 2016
✔ NPI 1538519251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036089327
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2450 GLENWOOD AVE, Joliet, IL 60435
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Other Identifiers 2

Medicare UPING44134IL
Medicaid1346236098IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D2115248

Endo-Med Clinic Sc · Joliet, IL
Active · expires Jun 30, 2028
CLIA Number14D2115248
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorWassim El-Harake MD
Laboratory Phone(815) 730-3304
Laboratory LocationEndo-Med Clinic Sc3033 W Jefferson St #206, Joliet, IL 60435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. NOUR KABBANI M.D.
Internal Medicine
2450 GLENWOOD AVE
JOLIET, IL 60435
Will County (815) 730-3304
KYLIE MARISSA ARCEO NP
Nurse Practitioner (Family)
2450 GLENWOOD AVE
JOLIET, IL 60435
Will County (815) 370-8822
WILL COUNTY WELLNESS CENTER
Chiropractor
2450 GLENWOOD AVE
JOLIET, IL 60435
Will County (157) 140-0088

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 Endo-Med Clinic Sc's NPI number?

The NPI number for Endo-Med Clinic Sc is 1538519251. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Endo-Med Clinic Sc located?

Endo-Med Clinic Sc is located at 2450 Glenwood Ave, Joliet, IL 60435. The listed phone number is (815) 730-3304.

What is Endo-Med Clinic Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Endo-Med Clinic Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2115248) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endo-Med Clinic Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Endo-Med Clinic Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endo-Med Clinic Sc was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.