DR. Jerry Lee Jensen, DO
NPI #1558372615 in South Holland, Illinois
Provider Information
- NPI Number
- 1558372615
- Entity Type
- Individual
- Name
- DR. Jerry Lee Jensen, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Jul 25, 2023
Practice Location
- Address
- 15525 S PARK AVE
- Address 2
- SUITE 113
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-1308
- Phone
- (708) 331-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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