Individual
BAILEY MARIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(773) 584-6200
Mailing address
6500 WOLF RD, INDIAN HEAD PARK, IL 60525-4369
(248) 752-7108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028548
IL
Other
Enumeration date
08/18/2023
Last updated
05/13/2024
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