Organization
JOVIVE HEALTH - ILLINOIS PC
Active
Other names
Jovive Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (COO)
(510) 851-7552
Entity
Organization
Contact information
Practice address
601 E ROOSEVELT RD, LOMBARD, IL 60148-4740
(630) 206-5574
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(630) 206-5574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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