J a K Enterprises INC
NPI #1528012218 in East Peoria, Illinois
Provider Information
- NPI Number
- 1528012218
- Entity Type
- Organization
- Organization Name
- J a K Enterprises INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 19, 2006
- Last Updated
- Apr 16, 2025
Practice Location
- Address
- 412 RIVERSIDE DR
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2098
- Phone
- (309) 694-2273
Authorized Official
- Name
- DIANA J HALL
- Title
- PRESIDENT
- Phone
- (309) 693-9540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Durable Medical Equipment & Medical Supplies |
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