| Organization Name: | ACJK INC |
| NPI Number: | 1093707903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERT DANIEL PELATE (OWNER MANAGER) |
| Mailing Address: | 2770 Madison Ave Granite City |
| State: | IL US |
| Postal Code: | 620403607 |
| Phone Number: | 6184518001 |
| Fax Number: | 6184518015 |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 54014022 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |