Dr. Jondelle B. Jenkins
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery and 1 more
1706 E 87th St
Chicago
, Illinois 60617-2740
Dr. Jondelle B. Jenkins
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery and 1 more
1706 E 87th St
Chicago
, Illinois 60617-2740
(773) 374-5860
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jondelle B. Jenkins
- 1706 E 87th St
- Chicago, IL
- Zip : 60617-2740
- Fax : (773) 374-5860
- Phone : (773) 374-5300
Second Address
- Dr. Jondelle B. Jenkins
- 1706 E 87th St
- Chicago, IL
- Zip : 60617-2740
- Fax : (773) 374-5860
- Phone : (773) 374-5300
Reviews
FAQs
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Is Dr. Jondelle B. Jenkins a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016003520 | IL |
| N | 222Z00000X | Podiatrist | 016003520 | IL |
| N | 213EP1101X | Primary Podiatric Medicine | 016003520 | IL |
| N | 111NR0200X | Radiology | 016003520 | IL |
| N | 213ER0200X | Radiology | 016003520 | IL |
| N | 2081S0010X | Sports Medicine | 016003520 | IL |
| N | 213ES0000X | Sports Medicine | 016003520 | IL |
| Y | 213ES0103X | Foot & Ankle Surgery | 016003520 | IL |
National Provider Identifier
| NPI | 1508956707 |
|---|---|
| Provider Name | Dr. Jondelle B. Jenkins |
| First Address | Chicago, IL 60617-2740 |
| Second Address | Chicago, IL 60617-2740 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 30/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001621735 | BLUE CROSS BLUE SHIELD (01) | IL |
| 016003520 | (05) | IL |
| P00276675 | RAILROAD MEDICARE (01) | IL |
| T38006 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.