Johneil Torena Juckett, is a
Massage Therapist based in Gages Lake, Illinois. Johneil Torena Juckett is licensed to practice in Illinois (license number 227008214) and his current practice location is
33707 N Lake Shore Dr, Gages Lake, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 521-9559.
NPI number for Johneil Torena Juckett is 1558505982 and his current mailing address is 33707 Lake Shore Drive, Gages Lake, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558505982.
Healthcare Provider's Profile
Full Name | Johneil Torena Juckett |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 33707 N Lake Shore Dr, Gages Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558505982
- Provider Enumeration Date: 04/29/2009
- Last Update Date: 04/29/2009
Medical Identifiers
Medical identifiers for Johneil Torena Juckett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558505982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227008214 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johneil Torena Juckett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Johneil Torena Juckett, 33707 Lake Shore Drive, Gages Lake, IL 60030 Ph: (847) 521-9559 | Johneil Torena Juckett, 33707 N Lake Shore Dr, Gages Lake, IL 60030-1748 Ph: (847) 521-9559 |
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