Individual
DR. KATHRYN JOANNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1254 N WELLS ST, CHICAGO, IL 60610-1981
(312) 337-3300
Mailing address
1130 N WOLCOTT AVE APT 2R, CHICAGO, IL 60622-7582
(630) 973-3276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019034309
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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