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NPI Code Detail

MEDICARE: JORTIFF HEALTH SERVICES

MEDICARE: JORTIFF HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261Q00000XClinic/Center
3261QM1300XMulti-Specialty Clinic/Center
4261QP2300XPrimary Care Clinic/Center
5291U00000XClinical Medical Laboratory
6261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1376436220
Entity Type Code : Organization
Provider Name (Legal Business Name) : JORTIFF HEALTH SERVICES
Provider Business Mailing Address
First Line : 2736 VILLAGE GREEN DR APT A1
Second Line :
City : AURORA
State : IL
Zip : 60504-5205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2735 HASSERT BLVD STE 135
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-5205
Country : US
Telephone Number : 630-631-6160
Fax Number : 410-541-7142
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : TIFFANY THEUS
Credential : NP
Telephone Number : 847-624-6907
Provider Enumeration Date : 05/30/2025
Last Update Date : 08/25/2025

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Directions to “JORTIFF HEALTH SERVICES ” Practice Location

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