Jamal Place Inc

LBN: Jamal Place Inc
Jamal Place Inc is an health care organization with primary practice located at 1335 S California Ave , Chicago IL 60608. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Jamal Place Inc can be contacted via phone (773) 277-6631, or through Deuel, Ann G via phone (773) 277-6631.

Contact Information

Primary practice address
1335 S California Ave Chicago IL 60608
Phone: (773) 277-6631
Fax: (773) 277-7049
Website:
Map and Directions
Authorized official contact:
Name: Deuel, Ann G Master of Arts (MA)
Phone: (773) 277-6631

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 267674 Illinois

Profile Details

NPI number 1437117520
LBN Legal business name Jamal Place Inc
DBA Doing business as
Authorized official Deuel, Ann G Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117520 NPPES
Illinois MEDICAID 2B05IPI125

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