Jenkin, Renata M

Jenkin, Renata M is an individual health care provider with primary practice located at 400 Skokie Blvd Ste 475 , Northbrook IL 60062-7930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jenkin, Renata M can be contacted via phone (847) 272-4433.

Contact Information

Primary practice address
400 Skokie Blvd Ste 475 Northbrook IL 60062-7930
Phone: (847) 272-4433
Fax: (847) 272-4434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036148052 Illinois

Profile Details

NPI number 1700848462
LBN Legal business name Jenkin, Renata M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700848462 NPPES
Washington Other 0296575 L&I
Washington MEDICAID 1700848462 L&I

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