MEDICARE: JNR ASSOCIATES, INC.

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
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1629801790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JNR ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	17 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4844
Country	:	US
Telephone Number	:	312-222-5610
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JAVAD JAFARI
Credential	:
Telephone Number	:	312-222-5610

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	08/23/2024

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