Individual
ELIZABETH M JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036088566
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
350141-1205
UT
Other
Enumeration date
06/14/2006
Last updated
05/21/2022
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