Jenkins, Lee

Jenkins, Lee is an sole proprietor health care provider with primary practice located at 675 W North Ave Suite 408, Melrose Park IL 60160-1634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jenkins, Lee can be contacted via phone (708) 450-4950.

Contact Information

Primary practice address
675 W North Ave Suite 408 Melrose Park IL 60160-1634
Phone: (708) 450-4950
Fax: (708) 343-8505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036088632 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036088632 Illinois

Profile Details

NPI number 1548202575
LBN Legal business name Jenkins, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 24th, 2020 - about 6 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 1548202575 NPPES
Illinois MEDICAID 036088632

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