Individual provider · Type 1 NPI
Jason Pencek, DC, FNP
Family Nurse Practitioner · Clarendon Hills, IL
NPI number
1215463393
Active
Practice location
4 Walker Ave Ste A
Clarendon Hills, IL 60514-1351
Mailing address
1102 N Damen Ave, #G
Chicago, IL 60622-3633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 038.013075 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.015396 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1215463393
Jason Pencek, DC, FNP's National Provider Identifier is 1215463393, issued on May 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarendon Hills, IL. The record was last updated on May 10, 2017.