Provider Demographics
NPI:1912446519
Name:JOY HEALTHCARE PROVIDERS INC
Entity Type:Organization
Organization Name:JOY HEALTHCARE PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-476-1581
Mailing Address - Street 1:1900 E GOLF RD
Mailing Address - Street 2:SUITE 950A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5834
Mailing Address - Country:US
Mailing Address - Phone:708-476-1581
Mailing Address - Fax:
Practice Address - Street 1:13652 BIRCHBARK CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-1752
Practice Address - Country:US
Practice Address - Phone:708-476-1582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.003021252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency