Jamal Place, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

246705-05 Issued in IL

Legal business name

JAMAL PLACE, INC.

Practice address

1335 S California Ave
Chicago, IL 60608-1611

Phone

(773) 277-6631

Fax

(773) 277-7049

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Brian Barclay, MSW

Title

TLP Director

Phone

(773) 722-5270

Specialties & licenses 1

Addresses

Tax ID family

Jamal Place Inc2 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.

• Jamal Place Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Chicago, IL
  • NPI 1437117520
  NPD tax ID

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174574016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S. CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081611",
            "telephone_number": "773-277-6631",
            "fax_number": "773-277-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081611",
            "telephone_number": "773-277-6631",
            "fax_number": "773-277-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "TLP DIRECTOR",
        "authorized_official_telephone_number": "773-722-5270",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "246705-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samah Jaleel, MD
• Jallan Meyer, LTD
• Angela Jalloh, PMHNP-BC
• Samiha Jallouqa, M.A.
• Jamal Place Inc
• Qaiser Jamal, M.D.
• Mohammad Waseem Hussein Jamaleddin, DDS, MS
• Jason Alexander Jamali, DDS, MD
• Maliha B Jamalvi, PA-C
• SM Zia Ul Wahab Jamalvi, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.