Mr Timothy Michael Jenkins, MA | |
5320 159th St Ste 100, Oak Forest, IL 60452-3329 | |
(708) 275-0934 | |
(708) 827-0485 |
Full Name | Mr Timothy Michael Jenkins |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5320 159th St Ste 100, Oak Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043378250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-003704 (Illinois) | Primary |
Entity Name | Orland Park Counselors Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982361408 PECOS PAC ID: 5890233688 Enrollment ID: O20240812001402 |
Entity Name | Futures Unlimited Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740044452 PECOS PAC ID: 6800335027 Enrollment ID: O20240830002494 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Michael Jenkins, MA 5320 159th St Ste 100, Oak Forest, IL 60452-3329 Ph: (708) 275-0934 | Mr Timothy Michael Jenkins, MA 5320 159th St Ste 100, Oak Forest, IL 60452-3329 Ph: (708) 275-0934 |
Ms. Maura L Maloney, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Ste C, Oak Forest, IL 60452 Phone: 630-724-0246 | |
Dawn Vance, MA Counselor Medicare: Medicare Enrolled Practice Location: 5320 159th St Ste 100, Oak Forest, IL 60452 Phone: 708-381-5009 Fax: 708-381-5026 | |
Jennifer Alice Boender, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15601 Cicero Ave, Suite 103, Oak Forest, IL 60452 Phone: 708-687-3479 | |
Sara Evin Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Bldg C, Oak Forest, IL 60452 Phone: 708-545-7320 | |
Barbara L Grevengoed, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 W 159th Street, Oak Forest, IL 60452 Phone: 708-535-7320 Fax: 708-535-7571 | |
Mrs. Kimberly Joy De Jong, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Bldg C, The Genesis Therapy Center, Oak Forest, IL 60452 Phone: 708-535-7320 |