Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LEE JENSEN, DO
Active Sole ProprietorDR. JERRY LEE JENSEN, DO is a Family Medicine healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1558372615 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1558372615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.013131107466 yrs)
- Last Updated
- Jul 25, 2023
- License
-
036071680 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15525 S PARK AVESUITE 113SOUTH HOLLAND, IL, 604731308Browse IL providers · Browse ZIP 60473
- Phone
- 7083315100
- Fax
- 7083315005
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTH HOLLAND, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES MATTHEW CHELICH | D.O. | 1558349514 |
| LAKSHMI EMORY | M.D. | 1730114984 |
| DR. WILLIAM H GILLARD | M.D. | 1457369662 |
| DR. DHARMESH KANUBHAI PATEL | M.D. | 1619039328 |
| JEFFREY W BRANTA | D.O. | 1083933261 |
| SHWETA GANDHI | D.O. | 1073907341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.