Jensen, Emily Elise

Jensen, Emily Elise is an individual health care provider with primary practice located at 391 S Bolingbrook Dr , Bolingbrook IL 60440-3411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jensen, Emily Elise can be contacted via phone (630) 226-1006.

Contact Information

Primary practice address
391 S Bolingbrook Dr Bolingbrook IL 60440-3411
Phone: (630) 226-1006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085004165 Illinois

Profile Details

NPI number 1497030118
LBN Legal business name Jensen, Emily Elise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Dec 27th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497030118 NPPES
Illinois Other 085004165 STATE MEDICAL LICENSE

Popular Providers