Jovive Health - Illinois PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOVIVE HEALTH - ILLINOIS PC

Doing business as

Jovive Health

Practice address

601 E Roosevelt Rd
Lombard, IL 60148-4740

Phone

(630) 206-5574

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

David Birdsall, MD

Title

Coo

Phone

(510) 851-7552

Specialties & licenses 1

Addresses

Other names 1

• Jovive Health Doing business as

Locations

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1255042248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "630-206-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484740",
            "telephone_number": "630-206-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161704",
            "country_code": "US",
            "telephone_number": "312-858-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOVIVE HEALTH - ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "510-851-7552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jovive Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Jones, RN
• Tyler Jones
• Tyron Jones, OTD
• Joseph a. Wanders DDS LTD.
• Teena Aikara Joseph, MSN, APN, FNP-C
• Jovive Health - Illinois PC
• Coleen Joy, PHARMD
• Jri Solutions LLC
• Haneen I Jubran
• Mary Juda, MS, OTR/L

• Family Medicine Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.