Organization
JONDELLE JENKINS
Active
Other names
J B JENKINS & ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
JONDELLE B JENKINS DPM (PRESIDENT)
(773) 374-5300
Entity
Organization
Contact information
Practice address
1706 E 87TH ST, CHICAGO, IL 60617-2740
(773) 374-5300
(773) 374-5860
Mailing address
1706 E 87TH ST, CHICAGO, IL 60617-2740
(773) 374-5300
(773) 374-5860
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621735
BCBS GROUP
IL
01
—
DB8026
RAILROAD MEDICARE GROUP
IL
Enumeration date
07/04/2006
Last updated
10/03/2022
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