Healthcare Provider Details

I. General information

NPI: 1538916184
Provider Name (Legal Business Name): JMJ HEALTHCARE SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 BUSSE HWY
PARK RIDGE IL
60068-3144
US

IV. Provider business mailing address

532 BUSSE HWY
PARK RIDGE IL
60068-3144
US

V. Phone/Fax

Practice location:
  • Phone: 872-757-2319
  • Fax: 872-268-8839
Mailing address:
  • Phone: 872-757-2319
  • Fax: 872-268-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANETH ALZONA MORA
Title or Position: PRESIDENT
Credential: RN
Phone: 872-757-2319