Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Internal Medicine & Family Practice, SC

Organization Internal Medicine Physician · NPI 1396825956

Internal Medicine & Family Practice, SC provides Internal Medicine Physician services in Joliet, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1719 Glenwood Ave
Joliet, IL 60435-5835 Not confirmed with CMS for 16 years — call before visiting
Phone: (815) 741-3532
Fax: (815) 741-3736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1396825956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahid Masood — President · (815) 741-3532
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 16, 2010
Mailing address1719 Glenwood Ave, Joliet, IL 60435-5835

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