Provider Demographics
NPI:1083167449
Name:SENIOR SERVICES CENTER OF WILL COUNTY
Entity Type:Organization
Organization Name:SENIOR SERVICES CENTER OF WILL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-740-4220
Mailing Address - Street 1:251 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-7144
Mailing Address - Country:US
Mailing Address - Phone:815-723-9713
Mailing Address - Fax:815-740-4218
Practice Address - Street 1:251 N CENTER ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-7144
Practice Address - Country:US
Practice Address - Phone:815-723-9713
Practice Address - Fax:815-740-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management