DR. JASON PENCEK DC FNP NPI 1215463393

NPI Information

  • NPI: 1215463393
  • Provider Name: DR. JASON PENCEK, DC, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4 WALKER AVE STE A
    CLARENDON HILLS, IL
    ZIP 60514
  • Phone: (630) 734-3454

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NPI Details

DR. Jason Pencek, DC, FNP is a family nurse practitioner in Clarendon Hills, IL. DR. Jason Pencek, DC, FNP NPI is 1215463393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 WALKER AVE STE A
CLARENDON HILLS, IL
ZIP 60514-351
Phone: (630) 734-3454

The enumeration date for this NPI number is 5/10/2017 and was last updated on 5/10/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038.013075ILLINOISNo
2363LF0000XNurse PractitionerFamily209.015396ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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