Individual
DR. NANCY L. JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
636 CHURCH ST, SUITE 416, EVANSTON, IL 60201-4508
(847) 612-0598
(847) 559-0651
Mailing address
2025 PLYMOUTH LN, NORTHBROOK, IL 60062-6063
(847) 612-0598
(847) 559-0651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636034
BCBSIL
IL
Enumeration date
03/06/2007
Last updated
07/08/2007
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