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General NPI Number Information
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NPI Number | 1881540805
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Entity Type | Organization
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Legal Business Name | OWNMED MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1330 SHERMER RD STE 100
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City | NORTHBROOK
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State | IL
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Zip | 60062-4539
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Country | US
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Telephone | 617-459-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 1343 SOUTHWIND DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-4267
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Country | US
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Telephone | 617-459-8037
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB JOY
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Credential | MD
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Telephone | 617-459-8037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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