Provider Demographics
NPI:1902120058
Name:JAASON INC.
Entity Type:Organization
Organization Name:JAASON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERISE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-837-6767
Mailing Address - Street 1:10618 CENTRAL AVE
Mailing Address - Street 2:UNITT 1 SOUTH
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2019
Mailing Address - Country:US
Mailing Address - Phone:708-837-6767
Mailing Address - Fax:
Practice Address - Street 1:10618 CENTRAL AVE
Practice Address - Street 2:UNIT 1 SOUTH
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2019
Practice Address - Country:US
Practice Address - Phone:708-837-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty