MEDICARE: J&E GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	3000679	IL

General Provider Information

NPI Number	:	1174969752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&E GROUP

Provider Business Mailing Address
First Line	:	150 HOUSTON ST
Second Line	:	SUITE 304
City	:	BATAVIA
State	:	IL
Zip	:	60510-1953
Country	:	US
Telephone Number	:	630-761-9755
Fax Number	:	630-761-9756

Provider Business Practice Location Address
First Line	:	150 HOUSTON ST
Second Line	:	SUITE 304
City	:	BATAVIA
State	:	IL
Zip	:	60510-1953
Country	:	US
Telephone Number	:	630-761-9755
Fax Number	:	630-761-9756

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. EVA EDYTA TAIT
Credential	:
Telephone Number	:	630-761-9755

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	05/22/2013

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