Individual
MR. JACQUES J JENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 S. HIGHLAND AVENUE, LOMBARD, IL 60148
(630) 627-4722
(630) 627-9134
Mailing address
1100 W. 31ST STREET, SUITE 400 CREDENTIALING / SUITE 300 ADMINISTRATIVE, DOWNERS GROVE, IL 60515
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095183
IL
208000000X
Pediatrics Physician
036095183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095183
—
IL
Enumeration date
02/27/2006
Last updated
05/12/2015
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