| Dr Carolyn Jendrek, MD | |
|
705 Digital Dr Ste G, Linthicum Heights, MD 21090-2267 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Dr Carolyn Jendrek |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 705 Digital Dr Ste G, Linthicum Heights, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275845638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0017868 (Maryland) | Primary |
| Entity Name | Alegis Care- Maryland Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871195644 PECOS PAC ID: 7719388891 Enrollment ID: O20210628000010 |
| Entity Name | Monogram Health Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220807000078 |
| Entity Name | Evernorth Care Providers - Delaware Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063284032 PECOS PAC ID: 6002217973 Enrollment ID: O20231206001646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carolyn Jendrek, MD 1340 S Damen Ave Ste 400, Chicago, IL 60608-1169 Ph: (773) 292-4800 | Dr Carolyn Jendrek, MD 705 Digital Dr Ste G, Linthicum Heights, MD 21090-2267 Ph: (773) 292-4800 |
Dr. Fermin Barrueto Jr., M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1099 Winterson Rd Ste 300, Linthicum Heights, MD 21090 Phone: 800-905-3261 |