Healthcare Provider Details

I. General information

NPI: 1083538466
Provider Name (Legal Business Name): JOOK MEDICAL CONSULT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 ADAMSVIEW RD
CATONSVILLE MD
21228-1132
US

IV. Provider business mailing address

1403 ADAMSVIEW RD
CATONSVILLE MD
21228-1132
US

V. Phone/Fax

Practice location:
  • Phone: 410-274-5967
  • Fax:
Mailing address:
  • Phone: 410-274-5967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: JOHN OKIDI
Title or Position: RESIDENT AGENT
Credential:
Phone: 410-892-0443