Healthcare Provider Details
I. General information
NPI: 1851098099
Provider Name (Legal Business Name): J R C JUST RIGHT CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
204 AUDREY LN
MOUNT PROSPECT IL
60056-2806
US
IV. Provider business mailing address
204 AUDREY LN
MOUNT PROSPECT IL
60056-2806
US
V. Phone/Fax
- Phone: 847-790-2424
- Fax:
- Phone: 847-790-2424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204C00000X |
| Taxonomy | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172P00000X |
| Taxonomy | Naprapath |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABINA
K
KOZLOWSKI
Title or Position: NAPRAPATH
Credential: DN
Phone: 847-790-2424