Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jencare Neighborhood Medical Center South Chicago, LLC

Organization Specialist · NPI 1164768354

Jencare Neighborhood Medical Center South Chicago, LLC provides Specialist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2231 E 95th St
Chicago, IL 60617-4804
Phone: (305) 628-6117
Fax: (312) 276-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036.131322 (IL)
Non-Pharmacy Dispensing Site Taxonomy 332900000X · Licence 036.131322 (IL)

Record details

NPI number1164768354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Chen — Authorized Official · (305) 831-4722
NPI enumeratedDecember 17, 2012
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address1395 Nw 167th St, Miami, FL 33169-5710

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