CJC Services Unlimited Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CJC SERVICES UNLIMITED INC

Practice address

222 E Wisconsin Ave
Suite 205
Lake Forest, IL 60045

Phone

(833) 527-3252

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Cory M Querubin, MHA

Title

Assistant Agency Manager

Phone

(833) 527-3252

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1275394587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E WISCONSIN AVE",
            "address_2": "SUITE 205",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "833-527-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E WISCONSIN AVE",
            "address_2": "SUITE 205",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "833-527-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJC SERVICES UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "QUERUBIN",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT AGENCY MANAGER",
        "authorized_official_telephone_number": "833-527-3252",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "3001856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ciccone, NP
• Beata Ciemierzynska
• Elizabeth A Ciennik, PA-C
• Christine Maria Ciolko, RPH
• City of Lake Forest
• Stephanie Jane Clapham, NP
• Richard J Clatch, MD PHD
• Ian D Cohen, M.D.
• Karen Elizabeth Cohen, M.S. ,LPC
• Mark Angelo Colapietro, ATC

• In Home Supportive Care Agency in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.