NPIMap

Organization Active NPI

JBL Group

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1548734007
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JBL GROUP
Practice address
2 W 103Rd St
Chicago, IL 60628-2619
Phone
(312) 489-4715
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Gertha Wells
Title
Ceo
Phone
(708) 574-4764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2 W 103Rd St
Chicago, IL 60628-2619

Mailing address

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

Other names 1

  • Midway Community 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": "1547683200000",
    "number": "1548734007",
    "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": "2 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282619",
            "telephone_number": "312-489-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "GERTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-574-4764"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midway Community 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 Jan 17, 2019; 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.