Joliet Professional Pharmacy Corp.
Community/Retail Pharmacy
2401 W Jefferson St Ste 200, Joliet
Illinois, 60435-6428
815-725-9315 815-725-3372
Joliet Professional Pharmacy Corp. is a Community/Retail Pharmacy in Joliet, Illinois. It is located at 2401 W Jefferson St Ste 200, Joliet and it's customer support contact number is 815-725-9315. The authorized person of Joliet Professional Pharmacy Corp. is Dr. Chad J Kodiak who is Owner of the pharmacy and his contact number is 815-725-9315. Active license number of Joliet Professional Pharmacy Corp. is 054-004174 for Community/Retail Pharmacy in Illinois. Joliet Professional Pharmacy Corp. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Joliet Professional Pharmacy Corp. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Joliet Professional Pharmacy Corp. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Joliet Professional Pharmacy Corp. |
| Type: | Community/Retail Pharmacy |
| Location: | 2401 W Jefferson St Ste 200, Joliet,
Illinois, 60435-6428 |
| Phone: | 815-725-9315 |
| Fax: | 815-725-3372 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Chad J Kodiak |
| Position: | Owner |
| Contact Number: | 815-725-9315 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144362567 |
| NPI Enumeration Date: | 13 Feb, 2007 |
| NPI Last Update On: | 20 Sep, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joliet Professional Pharmacy Corp. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054-004174 | Illinois | Primary | |
| Durable Medical Equipment & Medical Supplies | 054-004174 | Illinois | Secondary | |
Medicare Enrollment:
Joliet Professional Pharmacy Corp. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092841304 | O20100325000783 | Joliet Professional Pharmacy Corp. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2100 Glenwood Ave,
Joliet, Illinois |
| Zip: | 60435-5487 |
| Phone Number: | 815-725-9314 |
| Fax Number: | 815-725-7032 |
Patients can reach Joliet Professional Pharmacy Corp. at
2401 W Jefferson St Ste 200, Joliet, Illinois or can
call on customer care at 815-725-9315.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.