Fogg-Jenkins, Connie Jean

Fogg-Jenkins, Connie Jean is an individual health care provider with primary practice located at 12290 S Pulaski Rd , Alsip IL 60803-1405. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fogg-Jenkins, Connie Jean can be contacted via phone (708) 385-2006.

Contact Information

Primary practice address
12290 S Pulaski Rd Alsip IL 60803-1405
Phone: (708) 385-2006
Fax: (708) 385-3124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051036254 Illinois

Profile Details

NPI number 1275818940
LBN Legal business name Fogg-Jenkins, Connie Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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