Provider Demographics
NPI:1457559379
Name:JVB MEDICAL ASSOCIATES LTD
Entity Type:Organization
Organization Name:JVB MEDICAL ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BELMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-261-8111
Mailing Address - Street 1:2340 S HIGHLAND AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5397
Mailing Address - Country:US
Mailing Address - Phone:630-261-8111
Mailing Address - Fax:
Practice Address - Street 1:2340 S HIGHLAND AVE STE 380
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5397
Practice Address - Country:US
Practice Address - Phone:630-261-8111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036039204208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00845304OtherRAILROAD MEDICARE
ILD12269Medicare UPIN
IL459840Medicare ID - Type Unspecified