Jubilee Health Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

036109969 Issued in IL

Legal business name

JUBILEE HEALTH INC

Practice address

1016 Victoria LN
Glendale Heights, IL 60139-4508

Phone

(630) 379-8183

NPI assigned

Jul 31, 2009

Last updated

Jul 31, 2009By 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

Mr. Abdi TinwallaNPI 1689759979

Title

MD

Phone

(630) 379-8183

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Abdi Y Tinwalla, M.D.

  • Forensic Psychiatry Physician
  • Rushville, IL
  • NPI 1689759979
  NPD (past) Authorized official

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1932330446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 VICTORIA LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601394508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 VICTORIA LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601394508",
            "telephone_number": "630-379-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "TINWALLA",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-379-8183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "036109969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jas Brar M.D., S.C.
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• William A Jones, PHARMD
• Daxa J Joshi
• JSK Family Healthcare, P.C
• Annmary Kachappilly
• Kimberly Kallmann, LCPC
• Manahil Karim, PHARMD
• Samiullah Karim
• Keen Counseling PLLC

• Psychiatric Residential Treatment Facility in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Psychiatric Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.