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Jaynee Ellise Pendergast, DO
Family Medicine Physician in Morris, Illinois
NPI 1235519901

Jaynee Ellise Pendergast is a Family Medicine Physician based in Morris, IL. Jaynee Ellise Pendergast practices in Morris, IL and has the professional credentials of DO. The NPI Number for Jaynee Ellise Pendergast is 1235519901 and holds a License No. 125066219 (Illinois).

The current practice location address for Jaynee Ellise Pendergast is 1345 Edwards St Ste 2, Morris, IL and can be reached out via phone at 815-942-1421 and via fax at 815-488-2033. You can also correspond with Jaynee Ellise Pendergast through the mailing address at 725 SCHOOL ST STE A, MORRIS, IL - 60450-1207 (mailing address contact number: 815-941-9124).

Location: 1345 Edwards St Ste 2, Morris, IL, 60450-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235519901
Provider Name
Jaynee Ellise Pendergast
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1345 Edwards St Ste 2, Morris, IL, 60450-1207
Phone Number
815-942-1421
Fax Number
815-488-2033
Provider Enumeration Date
06/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036.144109 01 IL IL LICENSE
institution
Provider Business Practice Location Address Details
Address
1345 Edwards St Ste 2
City
Morris
State
Illinois
Zip
60450-1692
Phone Number
815-942-1421
Fax Number
815-488-2033
person
Provider Business Mailing Address Details
Address
1345 Edwards St Ste 2
City
Morris
State
Illinois
Zip
60450-1692
Phone Number
815-942-1421
Fax Number
815-488-2033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036144109 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125066219 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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