Organization
JAY M PENSLER,MD,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY MICHAEL PENSLER M.D. (PRESIDENT)
(312) 642-7777
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1125, CHICAGO, IL 60611-4546
(312) 642-7777
(312) 642-3333
Mailing address
680 N LAKE SHORE DR, SUITE 1125, CHICAGO, IL 60611-4546
(312) 642-7777
(312) 642-3333
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
IL
Other
Enumeration date
05/29/2007
Last updated
02/01/2008
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