Individual
DR. STEVEN T JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
801 W LAKE AVE, PEORIA, IL 61614-5951
(309) 686-0763
(309) 685-8809
Mailing address
4203 N SHERIDAN RD, STE A1-4, PEORIA, IL 61614-7171
(309) 557-8679
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010525
IL
Other
Enumeration date
11/10/2011
Last updated
12/01/2016
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