OrganizationActive
Innovative Geriatrics LLC
NPI 1578078754 · Geriatric Medicine (Family Medicine) Physician · Joliet, IL
Provider details
- NPI number
- 1578078754
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yaquta Patni, Ceo(206) 437-2948
- License
- 036106333 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 Madison St Ste 310
Joliet, IL 60435-6686
Phone: (815) 773-7737
Approximate (ZIP-level) locationGet directions
Mailing address
3040 Bella Ct
Lisle, IL 60532-1696
Additional practice locations (2)
- 2020 Ogden Ave Ste 360Aurora, IL 60504-6486Phone: (630) 692-5060
- 3815 Highland AveDowners Grove, IL 60515-1500Phone: (630) 275-7913
Registry dates
- Enumerated
- 2017-12-09
- Last updated
- 2026-01-03
- Certified
- 2026-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.