Provider Demographics
NPI:1386427011
Name:JUAN COMMUNICATIONS INC
Entity type:Organization
Organization Name:JUAN COMMUNICATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELJUANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES-GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LAB DIRECTOR
Authorized Official - Phone:312-832-6662
Mailing Address - Street 1:3114 BONNIE BRAE CRES
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2030
Mailing Address - Country:US
Mailing Address - Phone:773-619-9625
Mailing Address - Fax:
Practice Address - Street 1:21750 MAIN ST UNIT 11
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3717
Practice Address - Country:US
Practice Address - Phone:312-832-6662
Practice Address - Fax:312-761-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty