Individual
DR. JASON PENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, FNP
Contact information
Practice address
4 WALKER AVE STE A, CLARENDON HILLS, IL 60514-1351
(630) 734-3454
Mailing address
1102 N DAMEN AVE, #G, CHICAGO, IL 60622-3633
(217) 414-2162
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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