Jensen, Donald Milton
Jensen, Donald Milton is an individual health care provider with primary practice located at 1725 W. Harrison Street Suite 158, Chicago IL 60612. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hepatology is his primary health care specialty. Jensen, Donald Milton can be contacted via phone (312) 942-8910.Contact Information
Primary practice address
1725 W. Harrison Street Suite 158
Chicago IL 60612
Phone: (312) 942-8910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036048965 | Illinois |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 036.048965 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036.048965 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.048965 | Illinois |
Profile Details
| NPI number | 1518028349 |
|---|---|
| LBN Legal business name | Jensen, Donald Milton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 22nd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518028349 | NPPES |
| Illinois | MEDICAID | 036048965 |
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