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General NPI Number Information
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NPI Number | 1508598335
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Entity Type | Organization
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Legal Business Name | JBMV HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4711 MIDLOTHIAN TPKE STE 14
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City | CRESTWOOD
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State | IL
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Zip | 60418-4903
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Country | US
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Telephone | 708-743-2714
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Fax |
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Provider Business Mailing Address
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Address Line | 22941 MADDELINE LANE
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City | FRANKFORT
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State | IL
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Zip | 60423-8575
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Country | US
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Telephone | 708-743-2714
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BAYO BABATUNDE AGBOLADE
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Credential |
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Telephone | 708-743-2714
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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