Provider Demographics
NPI:1942245048
Name:JOY OF HEALTH LLC
Entity Type:Organization
Organization Name:JOY OF HEALTH LLC
Other - Org Name:JOY OF HEALTH S.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JYOTSNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-383-9981
Mailing Address - Street 1:101 MADISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4278
Mailing Address - Country:US
Mailing Address - Phone:708-383-9981
Mailing Address - Fax:708-383-9972
Practice Address - Street 1:101 MADISON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-4278
Practice Address - Country:US
Practice Address - Phone:708-383-9981
Practice Address - Fax:708-383-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036056738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036056738Medicaid
KSD15150Medicare UPIN
IL532440Medicare ID - Type Unspecified