Jenkins, Timothy Michael

Jenkins, Timothy Michael is an individual health care provider with primary practice located at 5320 159Th St Ste 100 , Oak Forest IL 60452-3329. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jenkins, Timothy Michael can be contacted via phone (708) 275-0934.

Contact Information

Primary practice address
5320 159Th St Ste 100 Oak Forest IL 60452-3329
Fax: (708) 827-0485
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-003704 Illinois

Profile Details

NPI number 1043378250
LBN Legal business name Jenkins, Timothy Michael
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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