location
search-icon
person
Dr. Jerry Lee Jensen, DO
Family Medicine Physician in South Holland, Illinois
NPI 1558372615

Jerry Lee Jensen is a Family Medicine Physician based in Crete, IL. Jerry Lee Jensen practices in South Holland, IL and has the professional credentials of DO. The NPI Number for Jerry Lee Jensen is 1558372615 and holds a License No. 036071680 (Illinois).

The current practice location address for Jerry Lee Jensen is 15525 S Park Ave, South Holland, IL and can be reached out via phone at 708-331-5100 and via fax at 708-331-5005. You can also correspond with Jerry Lee Jensen through the mailing address at 24239 E CUMBERLAND CT, CRETE, IL - 60417-1854 (mailing address contact number: 708-672-8940).

Location: 15525 S Park Ave, South Holland, IL, 60417-1854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558372615
Provider Name
Jerry Lee Jensen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
15525 S Park Ave, South Holland, IL, 60417-1854
Phone Number
708-331-5100
Fax Number
708-331-5005
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0031603768 01 IL BLUE CROSS
036071680 05 IL
14D0913083 01 CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
15525 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1308
Phone Number
708-331-5100
Fax Number
708-331-5005
person
Provider Business Mailing Address Details
Address
24239 E Cumberland Ct
City
Crete
State
Illinois
Zip
60417-1854
Phone Number
708-672-8940
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036071680 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.