Whalio Doctors

NPI 1043378250

Timothy Michael Jenkins, MA

Practitioner Professional Counselor Oak Forest, IL

Practice location

Address
5320 159th St STE 100, Oak Forest, IL 60452-3329
Phone
(708) 275-0934
Fax
(708) 827-0485

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180-003704 (IL)

Registry record

NPI
1043378250
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Dec 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.