Individual
DR. JASON PENCEK
Active
Individual
DR. JASON PENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, FNP
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.013075
IL
363LF0000X
Family Nurse Practitioner
Primary
209.015396
IL
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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