1174635718 NPI number — JAVETTE C. ORGAIN MD MPH

Table of content: JAVETTE C. ORGAIN MD MPH (NPI 1174635718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174635718 NPI number — JAVETTE C. ORGAIN MD MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORGAIN
Provider First Name:
JAVETTE
Provider Middle Name:
C.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174635718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 806527
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60680-4126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-833-1077
Provider Business Mailing Address Fax Number:
877-825-1491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2555 S KING DR
Provider Second Line Business Practice Location Address:
FLAWLESS INC. 2ND FLOOR C/O R. PHILLIPS, COO
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60616-2419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-833-1077
Provider Business Practice Location Address Fax Number:
877-825-1491
Provider Enumeration Date:
08/31/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  036066754 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)