Healthcare Provider Details

I. General information

NPI: 1194963488
Provider Name (Legal Business Name): JDF SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 EAST ROSEVELT ROAD SUITE #108
WHEATON IL
60187
US

IV. Provider business mailing address

402 E ROOSEVELT RD SUITE #108
WHEATON IL
60187-5588
US

V. Phone/Fax

Practice location:
  • Phone: 630-260-5300
  • Fax: 630-260-5303
Mailing address:
  • Phone: 630-260-5300
  • Fax: 630-260-5303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAPPLICATION SUBMITTE
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberAPPLICATION SUBMITTE
License Number StateIL

VIII. Authorized Official

Name: MR. JAMES D. FLICKINGER
Title or Position: PRESIDENT
Credential: CSA, CERTIFIED SENIO
Phone: 630-260-5300