SearchIllinois363LF0000X

Jenale King

NPI 1619518370 · on the registry since 2019 · sole proprietor

Practice

Address
14813 Oak St
Dolton, IL 60419
Phone
(773) 587-6435

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-03

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