Joliet Professional Pharmacy Corp.
Long Term Care Pharmacy
2401 W Jefferson St Ste 200, Joliet
Illinois, 60435-6428
815-725-9315 815-725-3372
Joliet Professional Pharmacy Corp. is a Long Term Care 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 Chad Kodiak who is President of the pharmacy and his contact number is 815-725-9314. 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 that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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: | Long Term Care 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: | Chad Kodiak |
| Position: | President |
| Contact Number: | 815-725-9314 |
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: | 08 Jul, 2026 |
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 | |
| Long Term Care Pharmacy | | | Primary | |
| Durable Medical Equipment & Medical Supplies | 054-004174 | Illinois | Secondary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | 054-004174 | Illinois | Secondary | |
| Specialty Pharmacy | | | 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: | 2401 W Jefferson St Ste 200,
Joliet, Illinois |
| Zip: | 60435-7830 |
| 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 13 July, 2026.