DR. JONDELLE B. JENKINS (NPI# 1508956707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508956707 |
| Entity Type | Individual |
| Full Name | DR. JONDELLE B. JENKINS |
| Credential | DPM |
| Practice Address |
1706 E 87th St Chicago IL 60617-2740 |
| Practice Telephone | 7733745300 |
| Practice Fax Number | 7733745860 |
| Mailing Telephone | 7733745300 |
| Mailing Fax Number | 7733745860 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016003520 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016003520 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
016003520 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
016003520 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016003520 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016003520 | 05 | |
| IL | RAILROAD MEDICARE | P00276675 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 0001621735 | 01 |
| Street Address |
1706 E 87TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639109382 | Jondelle Jenkins | Prosthetic/Orthotic Supplier | 1706 E 87th St, Chicago, IL 60617-2740 | 2006-07-04 |
| 1003363540 | Darla Thomas | Podiatrist | 1706 E 87th St, Chicago, IL 60617-2740 | 2016-09-01 |
| 1154784486 | Nathaniel George | Podiatrist | 1706 E 87th St, Chicago, IL 60617-2740 | 2016-04-04 |
| 1225415458 | Sabrina Landers | Podiatrist | 1706 E 87th St, Chicago, IL 60617-2740 | 2015-04-27 |
| 1578637401 | Scott M Wolff | Physical Therapist | 1706 E 87th St, Chicago, IL 60617-2740 | 2006-11-20 |
| 1962574103 | South Chicago Foot & Ankle Center, Ltd | Clinic/Center | 1706 E 87th St, Chicago, IL 60617-2740 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
| 1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
| 1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
| 1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
| 1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
| 1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
| 1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
| 1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.