Provider Demographics
NPI:1942881024
Name:J2N PROFESSIONAL SERVICES INC.
Entity Type:Organization
Organization Name:J2N PROFESSIONAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:N
Authorized Official - Last Name:NEWHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-653-2396
Mailing Address - Street 1:1752 SPINNAKER ST
Mailing Address - Street 2:
Mailing Address - City:PINGREE GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60140-2103
Mailing Address - Country:US
Mailing Address - Phone:708-653-2396
Mailing Address - Fax:
Practice Address - Street 1:1752 SPINNAKER ST
Practice Address - Street 2:
Practice Address - City:PINGREE GROVE
Practice Address - State:IL
Practice Address - Zip Code:60140-2103
Practice Address - Country:US
Practice Address - Phone:708-653-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization