| Jimare Wellness, Inc | |
|
5915 W Cermak Rd Cicero IL 60804-2136 | |
| (708) 391-5505 | |
| (708) 433-4441 |
| Full Name | Jimare Wellness, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5915 W Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | James W Miller (DIRECTOR) |
| Authorized Official Contact | 7083915505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimare Wellness, Inc 6238 26th St Unit 305 Berwyn IL 60402-5402 Ph: (708) 391-5505 | Jimare Wellness, Inc 5915 W Cermak Rd Cicero IL 60804-2136 Ph: (708) 391-5505 |
| NPI Number | 1952035255 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952035255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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