Provider Demographics
NPI:1477138071
Name:JDM CONSULTING & ASSOCIATES
Entity Type:Organization
Organization Name:JDM CONSULTING & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MACIULEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-342-1536
Mailing Address - Street 1:19539 BROOKFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-7088
Mailing Address - Country:US
Mailing Address - Phone:815-342-1536
Mailing Address - Fax:
Practice Address - Street 1:19539 BROOKFIELD CIR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-7088
Practice Address - Country:US
Practice Address - Phone:815-342-1536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker