Jason Pencek, DC, FNP

NPI 1215463393 · on the registry since 2017 · sole proprietor

Practice

Address: 4 Walker Ave Ste A
Clarendon Hills, IL 60514
Phone: (630) 734-3454
Organisation at this address: Coralis Health, Llc
Lifetime Family Healthcare Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 111N00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois