NPIMap

Organization Active NPI

JBL Group

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1013481571
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JBL GROUP
Practice address
200 E 75TH St Ste 600
Chicago, IL 60619-2284
Phone
(312) 858-2550
Fax
(312) 878-2291
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eunice Walker
Title
Director
Phone
(312) 489-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 E 75TH St Ste 600
Chicago, IL 60619-2284

Mailing address

2 W 103Rd St
Chicago, IL 60628-2619
Phone (312) 489-4715

Other names 1

  • Evolve Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evolve Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1013481571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282619",
            "telephone_number": "312-489-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 75TH ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192284",
            "telephone_number": "312-858-2550",
            "fax_number": "312-878-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-489-4715"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.