JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO LLC NPI 1164768354

NPI Information

JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO, LLC is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO, LLC NPI is 1164768354. The provider is registered as an organization entity type.

The provider's business location address is:

2231 E 95TH ST
CHICAGO, IL
ZIP 60617-804
Phone: (305) 628-6117
Fax: (312) 276-9660

The provider's authorized official is Gordon Chen .
The authorized official title is Owner and has the following contact phone number (305) 628-6117.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 12/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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