Provider Demographics
NPI:1245862457
Name:JEM TREATMENT, INC
Entity type:Organization
Organization Name:JEM TREATMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-336-7733
Mailing Address - Street 1:2424 WASHINGTON STREET
Mailing Address - Street 2:SUITE LL-110
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5074
Mailing Address - Country:US
Mailing Address - Phone:847-336-7733
Mailing Address - Fax:847-336-7722
Practice Address - Street 1:2424 WASHINGTON ST STE LL-110
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-5074
Practice Address - Country:US
Practice Address - Phone:847-336-7733
Practice Address - Fax:847-336-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone