Provider Demographics
NPI:1346050861
Name:JEFFREY SO INC
Entity type:Organization
Organization Name:JEFFREY SO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESDIENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-796-0044
Mailing Address - Street 1:8444 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-8401
Mailing Address - Country:US
Mailing Address - Phone:773-848-7377
Mailing Address - Fax:
Practice Address - Street 1:386 N YORK ST STE 210
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2363
Practice Address - Country:US
Practice Address - Phone:630-796-0044
Practice Address - Fax:630-796-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care