Jo Sack is a Professional in Peoria, Illinois. Jo Sack practices all healthcare services and medical treatments related to Professional. The NPI Number for Jo Sack is 1891702155. The last update date is 2012-11-16.
Jo Sack's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622. The mailing address for Jo Sack is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Sack |
|---|---|
| Address | 6615 N Big Hollow Rd, Peoria, Illinois |
| Phone Number | 3096926622 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1891702155 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2012-11-16 |
Provider Mailing Address Detail
| Address | 6615 N Big Hollow Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152450 |
| Phone Number | 3096926622 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180004604 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Jo Sack by the Centers for Medicare & Medicaid Services?
The Jo Sack has been assigned the NPI (National Provider Identifier) 1891702155. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jo Sack?
The Jo Sack is situated at 6615 N Big Hollow Rd, in the city of Peoria, state of IL, with the zip code 616152450.
What is Jo Sack's area of expertise and its corresponding taxonomy classification?
The Jo Sack's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891702155 to Jo Sack?
The Centers for Medicare & Medicaid Services originally issued the 1891702155 to Jo Sack on 2006-08-01.
As of what date were the details related to Jo Sack most recently updated or revised?
The information pertaining to Jo Sack, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-16.