Provider Demographics
NPI:1851056493
Name:JNZ MEDICAL LLC
Entity Type:Organization
Organization Name:JNZ MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOZINIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-792-1169
Mailing Address - Street 1:1 EXECUTIVE CT STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9533
Mailing Address - Country:US
Mailing Address - Phone:847-792-1169
Mailing Address - Fax:
Practice Address - Street 1:1 EXECUTIVE CT STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9533
Practice Address - Country:US
Practice Address - Phone:847-792-1169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory