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Contact Information

RJCG, LLC
19162 S 88TH AVE.
MOKENA, IL60448
 Phone: 708-567-4796
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for RJCG, LLC

NPI Number 1295947885
LBN Legal business name RJCG, LLC
Authorized official REBECCA CRAINSMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 09932090 BCBS PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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