SearchIllinois225100000X

Michael Jenckes, DPT

NPI 1851549489 · on the registry since 2008

Practice

Address
8729 Ridgeland Ave
Oak Lawn, IL 60453
Phone
(708) 233-6363
Fax
(708) 233-5580
Organisation at this address
Athletico Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-24

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