JENCARE NEIGHBORHOOD MEDICAL CENTER BERWYN LLC NPI 1811230014

NPI Information

JENCARE NEIGHBORHOOD MEDICAL CENTER BERWYN, LLC is a specialist in Berwyn, 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 BERWYN, LLC NPI is 1811230014. The provider is registered as an organization entity type.

The provider's business location address is:

6326 CERMAK RD
BERWYN, IL
ZIP 60402-304
Phone: (305) 628-6117

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 CLIA number assigned to this NPI record is 11D2057802 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 7/2/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.