Jentel, Jacques J

Jentel, Jacques J is an individual health care provider with primary practice located at 1801 S. Highland Avenue , Lombard IL 60148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jentel, Jacques J can be contacted via phone (630) 627-4722.

Contact Information

Primary practice address
1801 S. Highland Avenue Lombard IL 60148
Phone: (630) 627-4722
Fax: (630) 627-9134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036095183 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036095183 Illinois

Profile Details

NPI number 1336115583
LBN Legal business name Jentel, Jacques J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 12th, 2015 - about 9 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 1336115583 NPPES
Illinois MEDICAID 036095183

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