J2n Professional Services INC.
Exclusive Provider Organization in Pingree Grove, IL. Organization (NPI-2).
NPI number1942881024
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1942881024
- Entity type
- Organization (NPI-2)
- Legal business name
- J2n Professional Services INC.
- Organization subpart
- No
- Enumeration date
- Apr 19, 2021
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Practice location
1752 Spinnaker StPingree Grove, IL 60140-2103
Phone 708-653-2396
Mailing address
1752 Spinnaker StPingree Grove, IL 60140-2103
Phone 708-653-2396
Authorized official
Jaclyn N Newhart
Owner
7086532396
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