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)
Endpoints
- app.zoobooksystems.com
Connect Url | Direct | Other | Zoobook Systems | Cicero, IL 60804
Electronic Health Record
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Full Record
- NPI
- 1952035255
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Jimare Wellness, Inc
- Other Organization Name
- <Unavail>
- 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 2
- 193400000X Single Specialty Group
- Certification Date
- September 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Substance Abuse Rehabilitation Facility (324500000X)