Jencare Neighborhood Medical Center South Chicago, LLC

NPI #1164768354 in Chicago, Illinois

Provider Information

NPI Number: 1164768354
Entity Type: Organization
Organization Name: Jencare Neighborhood Medical Center South Chicago, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 17, 2012
Last Updated: Oct 31, 2024

Practice Location

Address: 2231 E 95TH ST
City: Chicago
State: Illinois
ZIP Code: 60617-4804
Phone: (305) 628-6117

Authorized Official

Name: MARY CHEN
Title: AUTHORIZED OFFICIAL
Phone: (305) 831-4722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X
Specialist	174400000X	Primary

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