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Mallory Rose Jenson, PA-C
Medical Physician Assistant in Chicago, Illinois
NPI 1881945558

Mallory Rose Jenson is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Mallory Rose Jenson practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Mallory Rose Jenson is 1881945558 and holds a License No. 085004404 (Illinois).

The current practice location address for Mallory Rose Jenson is 6141 N Cicero Ave, Chicago, IL and can be reached out via phone at 224-364-2273 and via fax at 847-663-8290.

Location: 6141 N Cicero Ave, Chicago, IL, 60646-4303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881945558
Provider Name
Mallory Rose Jenson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6141 N Cicero Ave, Chicago, IL, 60646-4303
Phone Number
224-364-2273
Fax Number
847-663-8290
Provider Enumeration Date
09/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085.004404 01 IL ILLINOIS STATE LICENSE NUMBER
385003174 01 IL ILLINOIS CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
6141 N Cicero Ave
City
Chicago
State
Illinois
Zip
60646-4303
Phone Number
224-364-2273
Fax Number
847-663-8290
person
Provider Business Mailing Address Details
Address
6141 N Cicero Ave
City
Chicago
State
Illinois
Zip
60646-4303
Phone Number
224-364-2273
Fax Number
847-663-8290
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.004404 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085004404 (Illinois)
Definition
Definition to come...
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