Organization · Type 2 NPI
Jencare Neighborhood Medical Center Glenwood, LLC
Specialist · Glenwood, IL
NPI number
1477991891
Active
Practice location
19310 S Halsted St
Glenwood, IL 60425-1562
Mailing address
1395 NW 167th St
Miami, FL 33169-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036.131322 (IL) |
| Non-Pharmacy Dispensing Site | 332900000X | 036.131322 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8 other providers at this address
- Carlos Crudup, MDFamily Medicine Physician Glenwood, IL NPI 1174556484
- Gregory M. Brown, DPMFoot & Ankle Surgery Podiatrist Glenwood, IL NPI 1548367535
- Katrice Marie Brooks, MDFamily Medicine Physician Glenwood, IL NPI 1962723981
- Michael Louis Radzienda, MDInternal Medicine Physician Glenwood, IL NPI 1457342610
- Michelle Meeks, MDFamily Medicine Physician Glenwood, IL NPI 1992704217
- Mohammed Adnan Khaleeluddin, DOFamily Medicine Physician Glenwood, IL NPI 1609317387
- Richard Phillips, MDFamily Medicine Physician Glenwood, IL NPI 1952487076
- Yvonne Annette AllenFamily Nurse Practitioner Glenwood, IL NPI 1144894890
About NPI 1477991891
Jencare Neighborhood Medical Center Glenwood, LLC's National Provider Identifier is 1477991891, issued on Jun 7, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glenwood, IL. The record was last updated on Oct 31, 2024.