National Provider Identifier
Jimare Wellness, Inc
Jimare Wellness, Inc is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Cicero, IL and a listed phone number of (708) 391-5505.
Source: public NPPES record, last updated September 06, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1952035255
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 12, 2022
- Last Updated
- September 06, 2022
Practice Location
- 5915 W Cermak RD
- Cicero, IL 60804-2136
Phone: (708) 391-5505
Mailing Address
- 6238 26Th St Unit 305
- Berwyn, IL 60402-5402
Authorized Official
- Name
- Mr. James W Miller
- Title
- Director
- Credentials
- CADC
- Phone
- (708) 391-5505
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Substance Abuse Rehabilitation Facility (324500000X)
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Organization Overview
Jimare Wellness, Inc. operates Jimare Wellness Counseling Center in Cicero, Illinois, focused on alcohol and drug-related counseling, education, outpatient treatment, continuing care, and DUI-related services. The center says Magdalena and Jim Miller opened it in Cicero in 2014 to serve people needing court-mandated substance abuse services, and it describes its programs as including adult outpatient treatment, adult intensive outpatient treatment, assessments, and services for Secretary of State or court requirements. Its site also says it is licensed by Illinois and recognized by the Secretary of State and courts.
Full Record
- NPI
- 1952035255
- Entity Type
- Organization
- Organization Name
- Jimare Wellness, Inc
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 6238 26Th St Unit 305
- Mailing City
- Berwyn
- Mailing State
- IL
- Mailing ZIP Code
- 60402-5402
- Mailing Country
- US
- Mailing Phone
- (708) 391-5505
- Mailing Fax
- (708) 433-4441
- Practice Street Address
- 5915 W Cermak RD
- Practice City
- Cicero
- Practice State
- IL
- Practice ZIP Code
- 60804-2136
- Practice Country
- US
- Practice Phone
- (708) 391-5505
- Practice Fax
- (708) 433-4441
- Enumeration Date
- July 12, 2022
- Last Updated
- September 06, 2022
- Authorized Official Last Name
- Miller
- Authorized Official First Name
- James
- Authorized Official Middle Name
- W
- Authorized Official Title
- Director
- Authorized Official Phone
- (708) 391-5505
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- CADC
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- September 06, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Substance Abuse Rehabilitation Facility (324500000X)