Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON PENCEK, DC, FNP
Active Sole ProprietorDR. JASON PENCEK, DC, FNP is a Family Nurse Practitioner healthcare provider located in CLARENDON HILLS, Illinois. NPI 1215463393 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CLARENDON HILLS, IL
Registration Details
- NPI Number
- 1215463393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2017 (9.0791606410718 yrs)
- Last Updated
- May 10, 2017
- Licenses
-
038.013075 (IL)209.015396 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 WALKER AVE STE ACLARENDON HILLS, IL, 605141351Browse IL providers · Browse ZIP 60514
- Phone
- 6307343454
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.