James  R  Jenkins    DC
Contract Details
Facility name
Provider ID
P000004880
NPI
1588713994
Tax ID
363757048
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
825 South Route 59
Bartlett, IL 60103
United States
County
Cook
Phone
6302891181 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address