Organization
JUBILEE ADULT DAY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE BLAKE DO (MEDICAL DIRECTOR)
(773) 233-2408
Entity
Organization
Contact information
Practice address
1738 W 99TH ST, CHICAGO, IL 60643-2116
(773) 233-2408
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
261QA0600X
Adult Day Care Clinic/Center
Primary
—
IL
Other
Enumeration date
05/02/2006
Last updated
09/11/2025
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