Jondelle B. Jenkins in Chicago - Sports Medicine
Jondelle B. Jenkins - NPI 1508956707
Jondelle B. Jenkins is a Sports Medicine in Chicago, Illinois. Jondelle B. Jenkins practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jondelle B. Jenkins is 1508956707. The last update date is 2022-10-03.
Jondelle B. Jenkins's current location address is 1706 E 87th St, Chicago, Illinois. You can contact this provider via phone number 7733745300 and fax number 7733745860. The mailing address for Jondelle B. Jenkins is 1706 E 87th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jondelle B. Jenkins |
|---|---|
| Address | 1706 E 87th St, Chicago, Illinois |
| Phone Number | 7733745300 |
| Fax Number | 7733745860 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508956707 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2022-10-03 |
Provider Mailing Address Detail
| Address | 1706 E 87th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606172740 |
| Phone Number | 7733745300 |
| Fax Number | 7733745860 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 16003520 |
|
Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16003520 | IL | -- | |
| 1621735 | IL | BLUE CROSS BLUE SHIELD | |
| P00276675 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Jondelle B. Jenkins's unique identification number?
The Jondelle B. Jenkins has been assigned the NPI (National Provider Identifier) Number 1508956707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jondelle B. Jenkins's facilities are geographically located?
The facilities of Jondelle B. Jenkins are physically situated at the following location: 1706 E 87Th St, Chicago, IL, 606172740.
What is the Jondelle B. Jenkins's specialty and taxonomy code?
The Jondelle B. Jenkins's specialty is Sports Medicine, and the corresponding taxonomy code is 213Es0000X.
When did Jondelle B. Jenkins receive its 1508956707 assignment?
The Jondelle B. Jenkins was assigned its 1508956707 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jondelle B. Jenkins most recently updated or revised?
The details related to Jondelle B. Jenkins, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-03.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI