JUBILEE ADULT DAY CENTER INC NPI 1396703021

NPI Information

NPI: 1396703021
Provider Name: JUBILEE ADULT DAY CENTER INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1738 W 99TH ST
CHICAGO, IL
ZIP 60643
Phone: (773) 233-2408
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JUBILEE ADULT DAY CENTER INC is an adult day care clinic center in Chicago, IL. JUBILEE ADULT DAY CENTER INC NPI is 1396703021. The provider is registered as an organization entity type.

The provider's business location address is:

1738 W 99TH ST
CHICAGO, IL
ZIP 60643-116
Phone: (773) 233-2408

The provider's authorized official is Wayne Blake .
The authorized official title is Medical Director and has the following contact phone number (773) 233-2408.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care		ILLINOIS	Yes
2	207R00000X	Internal Medicine			ILLINOIS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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