Organization
JASSI 88 INC.
Active
Other names
Jiya Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIHIR PARIKH (PRESIDENT)
(630) 625-3111
Entity
Organization
Contact information
Practice address
724 S PRESIDENT ST, UNIT - A, WHEATON, IL 60189-6606
(630) 682-5492
(630) 682-5493
Mailing address
724 S PRESIDENT ST, UNIT - A, WHEATON, IL 60189-6606
(630) 682-5492
(630) 682-5493
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/26/2007
Last updated
08/23/2011
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