Nepomuceno, Jenie
Nepomuceno, Jenie is an sole proprietor health care provider with primary practice located at 4309 W Medical Center Dr Ste B207 , Mchenry IL 60050-8439. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Nepomuceno, Jenie can be contacted via phone (888) 220-6432.Contact Information
Primary practice address
4309 W Medical Center Dr Ste B207
Mchenry IL 60050-8439
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036082689 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036082689 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036082689 | Illinois |
Profile Details
| NPI number | 1063843670 |
|---|---|
| LBN Legal business name | Nepomuceno, Jenie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063843670 | NPPES |
| Illinois | MEDICAID | 036082689 |
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