Jenkins, Jondelle B.
Jenkins, Jondelle B. is an sole proprietor health care provider with primary practice located at 1706 E 87Th St , Chicago IL 60617-2740. She recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Jenkins, Jondelle B. can be contacted via phone (773) 374-5300.Contact Information
Primary practice address
1706 E 87Th St
Chicago IL 60617-2740
Phone: (773) 374-5300
Fax: (773) 374-5860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 016003520 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016003520 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 016003520 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016003520 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016003520 | Illinois |
Profile Details
| NPI number | 1508956707 |
|---|---|
| LBN Legal business name | Jenkins, Jondelle B. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Oct 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508956707 | NPPES |
| Illinois | MEDICAID | 016003520 | |
| Illinois | Other | 0001621735 | |
| Illinois | Other | P00276675 |
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