Organization
CARY ANN JENKINS, MD, LLC
Active
Other names
Morris Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
CARY JENKINS MD (PROVIDER)
(815) 941-5160
Entity
Organization
Contact information
Practice address
1499 LAKEWOOD DR, UNIT A, MORRIS, IL 60450-1709
(847) 738-0542
Mailing address
1499 LAKEWOOD DR STE A, MORRIS, IL 60450-1791
(815) 941-5160
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036117595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841390572
INDIVIDUAL NPI
—
Enumeration date
10/30/2009
Last updated
03/21/2025
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