JEP HEALTHCARE PROVIDER, LLC
NPI 1730582990
Nurse Practitioner - Family in Mundelein, IL

Active since October 02, 2014
1330 KETTERING RD, MUNDELEIN, IL 60060(847) 287-9102(847) 388-4711 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jep Healthcare Provider, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEP HEALTHCARE PROVIDER, LLC (NPI 1730582990) is a healthcare organization registered as a family in Mundelein, Illinois and active in the NPI registry since October 2014. The organization lists Joseph Escobar, President, as its authorized official.

NPPES Registry Identity

NPI1730582990
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJEP HEALTHCARE PROVIDER, LLC
Location Address1330 KETTERING RDMundelein, IL 60060-5364
Mailing Address1330 Kettering RdMundelein, IL 60060-5364 · (847) 388-4711
Fax(847) 388-4711
Organization SubpartNo
Authorized OfficialJoseph EscobarPresident · (847) 287-9102
Enumeration DateOctober 2, 2014
NPI 1730582990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209009807
1330 KETTERING RD, Mundelein, IL 60060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1330 KETTERING RD
MUNDELEIN, IL 60060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jep Healthcare Provider, LLC's NPI number?

The NPI number for Jep Healthcare Provider, LLC is 1730582990. It was assigned to this organization in the NPPES registry on October 2, 2014.

Where is Jep Healthcare Provider, LLC located?

Jep Healthcare Provider, LLC is located at 1330 Kettering Rd, Mundelein, IL 60060. The listed phone number is (847) 287-9102.

What is Jep Healthcare Provider, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jep Healthcare Provider, LLC was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.