JERRY LEE JENSEN

SOUTH HOLLAND, IL
NPI1558372615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036071680)
Enumeration Date2006-08-11
Last Update Date2023-07-25
Business Address
Dr. JERRY LEE JENSEN DO
15525 S PARK AVE SUITE 113
SOUTH HOLLAND, IL 60473-1308
Phone number: 708-331-5100
Mailing Address
Dr. JERRY LEE JENSEN DO
24239 E CUMBERLAND CT
CRETE, IL 60417-1854
Phone number: 708-672-8940
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