Jondelle Jenkins in Chicago - Prosthetic/orthotic Supplier
Jondelle Jenkins - NPI 1639109382
Jondelle Jenkins is a Prosthetic/orthotic Supplier in Chicago, Illinois. Jondelle Jenkins practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Jondelle Jenkins is 1639109382. The last update date is 2022-10-03.
Jondelle 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 Jenkins is 1706 E 87th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jondelle Jenkins |
|---|---|
| Address | 1706 E 87th St, Chicago, Illinois |
| Phone Number | 7733745300 |
| Fax Number | 7733745860 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jenkins B Jondelle |
| Credentials | DPM |
| Telephone Number | 7733745300 |
NPI Number Detail
| NPI Number | 1639109382 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| 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 | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1621735 | IL | BCBS GROUP | |
| DB8026 | IL | RAILROAD MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Jondelle Jenkins by the Centers for Medicare & Medicaid Services (CMS)?
The Jondelle Jenkins has been assigned the NPI (National Provider Identifier) 1639109382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jondelle Jenkins located?
The Jondelle Jenkins is located at 1706 E 87Th St, Chicago, IL 606172740.
When was the Jondelle Jenkins's 1639109382 issued?
The Jondelle Jenkins's 1639109382 was issued on 2006-07-04.
On what date did the Centers for Medicare & Medicaid Services issue the 1639109382 to Jondelle Jenkins?
The Jondelle Jenkins received its 1639109382 assignment from the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information pertaining to Jondelle Jenkins most recently updated or revised?
The details related to Jondelle Jenkins, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-03.