Organization
JAMAL PLACE INC
Active
Organization
JAMAL PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN G DEUEL MA (EXECUTIVE DIRECTOR)
(773) 277-6631
Entity
Organization
Contact information
Practice address
1335 S CALIFORNIA AVE, CHICAGO, IL 60608
(773) 277-6631
(773) 277-7049
Mailing address
1335 S CALIFORNIA AVENUE, CHICAGO, IL 60608
(773) 277-6631
(773) 277-7049
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
267674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05IPI125
—
IL
Enumeration date
05/01/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up