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General NPI Number Information
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NPI Number | 1326281841
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Entity Type | Organization
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Legal Business Name | JRJG INC.
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 1809 N MILL ST STE F
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City | NAPERVILLE
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State | IL
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Zip | 60563-4867
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Country | US
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Telephone | 630-778-2005
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Fax | 630-778-2006
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Provider Business Mailing Address
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Address Line | 1809 N MILL ST STE F
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City | NAPERVILLE
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State | IL
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Zip | 60563-4867
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Country | US
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Telephone | 630-778-2005
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Fax | 630-778-2006
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES R GUZDZIOL
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Credential | MBA
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Telephone | 630-778-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4000174
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License Number State | IL
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