Jem Treatment, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

JEM TREATMENT, INC

Practice address

2424 Washington St Ste LL-110
Waukegan, IL 60085-5074

Phone

(847) 336-7733

Fax

(847) 336-7722

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Darlene L MaloneyNPI 1205559671

Title

Executive Director

Phone

(847) 336-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Dec 7, 2022

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darlene L Maloney

  • Methadone Clinic
  • Waukegan, IL
  • NPI 1205559671
  NPD Authorized official
• Elizabeth Marie Peterson, RN

  • Registered Nurse
  • Waukegan, IL
  • NPI 1538881107
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1245862457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WASHINGTON STREET",
            "address_2": "SUITE LL-110",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855074",
            "telephone_number": "847-336-7733",
            "fax_number": "847-336-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WASHINGTON ST STE LL-110",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855074",
            "telephone_number": "847-336-7733",
            "fax_number": "847-336-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM TREATMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-336-7733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magda Jancek, DPT
• William Orville Janes, MD
• Jascdy Management LLC
• Badr S Javed, M.D.
• Susan Ruth Jeep, DIETITIAN
• Johnnie Mae Jenkins
• Elizabeth Jenson
• David Jeong, DDS
• William L. Jesenovec, D.D.S.
• Judith Lynn Jesse, RN

• Methadone Clinic in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.