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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518028349 NPPES
Illinois MEDICAID 036048965

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