Jencare Neighborhood Medical Center Evergreen Park, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036.131322 Issued in IL

Legal business name

JENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC

Practice address

2734 W 87TH St
Chicago, IL 60652-3937

Phone

(305) 628-6117

NPI assigned

Jan 29, 2013

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 831-4722

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Ayash, M.D.

  • Hospitalist Physician
  • New Orleans, LA
  • NPI 1346689742
  NPD (past)
• Gordon Lee Chen, M.D.

  • Internal Medicine Physician
  • Opa Locka, FL
  • NPI 1912108317
  NPD (past)
• Stacie Griffis, M.D.

  • Hospitalist Physician
  • Miami, FL
  • NPI 1881980092
  NPD (past)
• Jeffrey Ling Kang, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1710429410
  NPD (past)
• Junior Macias Madaula, MD

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1043577109

  Single Specialty

  NPD (past)
• Kedna Obnis, ARNP

  • Adult Health Nurse Practitioner
  • Miami, FL
  • NPI 1922367523
  NPD (past)
• Margali Sagaille, APRN

  • Gerontology Nurse Practitioner
  • Hollywood, FL
  • NPI 1699927798
  NPD (past)
• Susan Schayes, MD

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1720183254
  NPD (past)
• Mariella Velez-Martinez, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1770793440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1639417496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117",
            "fax_number": "305-650-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523937",
            "telephone_number": "305-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.131322",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "036.131322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jen Prazak Lactation LLC
• Jen Wellness PLLC
• Jena H. Stallings, PH.D., LLC
• Marie Danielle Jena Rud, MD
• Anek Jena
• Jencare Neighborhood Medical Center South Chicago, LLC
• Michael Francis Jendusa, MD
• Roberta Helen Clarke Jenero, LDN
• Alyssa Chrystine Jeng
• Iu-Luen Jeng, LCPC, ATR

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.