Organization
MJM HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEMI ASSISAT ANDU-ALAUSA CPA, MBA (PRESIDENT)
(630) 670-6416
Entity
Organization
Contact information
Practice address
5517 SOUTH MICHIGAN STREET, LOWER LEVEL, CHICAGO, IL 60615
(773) 643-0227
(773) 643-0227
Mailing address
12807 FALCON CT, LEMONT, IL 60439-7300
(773) 643-0227
(773) 643-0227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1765224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1765224
STATE LICENSE
IL
Enumeration date
11/01/2006
Last updated
08/22/2020
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