Organization
JOYOUS YEARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEISHA ROLLS CPC (SENIOR PROJECT MANAGER)
(630) 384-1254
Entity
Organization
Contact information
Practice address
1310 E 75TH ST, CHICAGO, IL 60619-1420
(630) 384-1254
(630) 384-1217
Mailing address
2100 MANCHESTER RD, BUILDING A SUITE 615, WHEATON, IL 60187-4579
(630) 384-1254
(630) 260-4120
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
036100650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100650
—
IL
Enumeration date
08/01/2008
Last updated
03/16/2009
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