Organization
D V JAHN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRIY VICTOR JAHN (OWNER/PRESIDENT)
(847) 452-2975
Entity
Organization
Contact information
Practice address
25661 NORTH HILLVIEW CT, MUNDELEIN, IL 60060-9426
(847) 550-1898
Mailing address
25661 NORTH HILLVIEW CT, MUNDELEIN, IL 60060-9426
(847) 550-1898
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203001045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203001045
LICENSE
IL
Enumeration date
12/01/2008
Last updated
05/25/2010
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