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DR. CAROLYN JENDREK M.D.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275845638

Individual Registrant:
DR. CAROLYN  JENDREK M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
705 DIGITAL DR STE G  LINTHICUM HEIGHTS, MD 21090-2267 US
Tel: 773-292-4800  Fax: 312-564-4059

Contact information for business:
1340 S DAMEN AVE STE 400  CHICAGO, IL 60608-1169 US
Tel: 773-292-4800  Fax: 312-564-4059

Registration Information:
NPI: 1275845638
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
MDD0017868

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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