Jenks, James David

Jenks, James David is an individual health care provider with primary practice located at 3825 Highland Ave Suite 3K, Downers Grove IL 60515-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jenks, James David can be contacted via phone (630) 968-2144.

Contact Information

Primary practice address
3825 Highland Ave Suite 3K Downers Grove IL 60515-1552
Phone: (630) 968-2144
Fax: (630) 968-2337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036061039 Illinois

Profile Details

NPI number 1154435444
LBN Legal business name Jenks, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 24th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154435444 NPPES
Illinois MEDICAID 036061039

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