Organization
JT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NICKLE (IT DIRECTOR)
(630) 501-0996
Entity
Organization
Contact information
Practice address
1S443 SUMMIT AVE, 204 A&B, OAKBROOK TERRACE, IL 60181-3989
(630) 501-0996
Mailing address
1S443 SUMMIT AVE, 204 A&B, OAKBROOK TERRACE, IL 60181-3989
(630) 501-0996
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
IL6004964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452820443003
—
IL
Enumeration date
08/01/2016
Last updated
08/01/2016
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