Individual
ELISA ANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 E MADISON ST FL 3, SPRINGFIELD, IL 62701-1035
(217) 545-7627
Mailing address
301 N 8TH ST STE 3A158, SPRINGFIELD, IL 62701-1085
(217) 545-3134
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125086404
IL
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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