| Jb Medical Inc | |
|
707 Lake Cook Rd Ste 130 Deerfield IL 60015-4938 | |
| (847) 418-3308 | |
| (847) 418-3309 |
| Full Name | Jb Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 707 Lake Cook Rd Ste 130, Deerfield, Illinois |
| Authorized Official Name and Position | Julia Melamed (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8474183308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jb Medical Inc 707 Lake Cook Rd Ste 130 Deerfield IL 60015-4938 Ph: (847) 418-3308 | Jb Medical Inc 707 Lake Cook Rd Ste 130 Deerfield IL 60015-4938 Ph: (847) 418-3308 |
| NPI Number | 1528133014 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 11/03/2010 |
| Medicare PECOS PAC ID | 6204020258 |
|---|---|
| Medicare Enrollment ID | O20101103000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528133014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036095792 (Illinois) | Primary |
| Provider Name | Julia A Melamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235217373 PECOS PAC ID: 3971539180 Enrollment ID: I20050711000407 |
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