Jerry Lee Jensen in Crete - Family Medicine
Jerry Lee Jensen - NPI 1558372615
Jerry Lee Jensen is a Family Medicine in Crete, Illinois. Jerry Lee Jensen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Lee Jensen is 1558372615. The last update date is 2023-07-25.
Jerry Lee Jensen's current location address is 24239 E Cumberland Ct, Crete, Illinois. You can contact this provider via phone number 7086728940. The mailing address for Jerry Lee Jensen is 24239 E Cumberland Ct, Crete, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Jensen |
|---|---|
| Address | 24239 E Cumberland Ct, Crete, Illinois |
| Phone Number | 7086728940 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1558372615 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2023-07-25 |
Provider Mailing Address Detail
| Address | 24239 E Cumberland Ct |
|---|---|
| City | Crete |
| State | Illinois (IL) |
| Post Code | 604171854 |
| Phone Number | 7086728940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36071680 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31603768 | IL | BLUE CROSS | |
| 36071680 | IL | -- | |
| 14D0913083 | CLIA NUMBER |
Post Comment/ Review Below
What is the Jerry Lee Jensen's 1558372615?
The Jerry Lee Jensen's NPI (National Provider Identifier) Number is 1558372615. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerry Lee Jensen is located?
The Jerry Lee Jensen is situated at the following address: 24239 E Cumberland Ct, Crete, IL, 604171854.
What is Jerry Lee Jensen's area of expertise and its corresponding taxonomy classification?
The Jerry Lee Jensen's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jerry Lee Jensen's 1558372615 issued?
The Jerry Lee Jensen's 1558372615 was issued on 2006-08-11.
As of what date was the information regarding Jerry Lee Jensen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Lee Jensen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-25.
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