Provider Demographics
NPI:1255830329
Name:SJOB HEALTH, INC.
Entity Type:Organization
Organization Name:SJOB HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUNILA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-673-4931
Mailing Address - Street 1:26W345 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2332
Mailing Address - Country:US
Mailing Address - Phone:630-673-4931
Mailing Address - Fax:
Practice Address - Street 1:26W345 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2332
Practice Address - Country:US
Practice Address - Phone:630-673-4931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.006135133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty