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JENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC
NPI 1639417496
Specialist in Chicago, IL

Active since January 29, 2013
2734 W 87TH ST, CHICAGO, IL 60652(305) 628-6117 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jencare Neighborhood Medical Center Evergreen Park, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC (NPI 1639417496) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since January 2013. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639417496
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC
Location Address2734 W 87TH STChicago, IL 60652-3937
Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117 · Fax (305) 650-0674
Phone(305) 628-6117
Organization SubpartNo
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateJanuary 29, 2013
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1639417496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036.131322
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X · License 036.131322 (IL)
2734 W 87TH ST, Chicago, IL 60652
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BHAVNA BALANEY MD
Internal Medicine (Cardiovascular Disease)
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
ALAN JACKSON MD
Internal Medicine (Cardiovascular Disease)
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
JAVERIA JAVED SYED M.D
Internal Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
TRI KIEU MD
Internal Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
MS. PAMELA DENISE GOODWIN-COLE MD
Internal Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
FRI AWASUM MD
Family Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
SHANI NATASHA HOPWOOD M.D.
Family Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700
JOSHUA MICHAEL EVERHART DO
Family Medicine
2734 W 87TH ST
CHICAGO, IL 60652
Cook County (773) 918-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jencare Neighborhood Medical Center Evergreen Park, LLC's NPI number?

The NPI number for Jencare Neighborhood Medical Center Evergreen Park, LLC is 1639417496. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Jencare Neighborhood Medical Center Evergreen Park, LLC located?

Jencare Neighborhood Medical Center Evergreen Park, LLC is located at 2734 W 87th St, Chicago, IL 60652. The listed phone number is (305) 628-6117.

What is Jencare Neighborhood Medical Center Evergreen Park, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Jencare Neighborhood Medical Center Evergreen Park, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 30 other insurers list Jencare Neighborhood Medical Center Evergreen Park, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jencare Neighborhood Medical Center Evergreen Park, LLC was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.