Jak Enterprises INC

NPI #1760421317 in Peoria, Illinois

Provider Information

NPI Number
1760421317
Entity Type
Organization
Organization Name
Jak Enterprises INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 6, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
1200 W MAIN ST
Address 2
SUITE 21
City
Peoria
ZIP Code
61606-1253
Phone
(309) 672-2273

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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