Individual
GRACE KATHRYN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1053 MADISON ST, OAK PARK, IL 60302-4432
(708) 300-3075
Mailing address
435 W ERIE ST APT 2003, CHICAGO, IL 60654-6990
(636) 484-0127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027175
IL
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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