Individual provider · Type 1 NPI

Emily Elise Jensen, PA

Medical Physician Assistant · Bolingbrook, IL

NPI number 1497030118 Active

Practice location

391 S Bolingbrook Dr
Bolingbrook, IL 60440-3411

Mailing address

17735 S Williamsburg Dr
Plainfield, IL 60586-8636

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085004165 (IL)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1497030118

Emily Elise Jensen, PA's National Provider Identifier is 1497030118, issued on Oct 13, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bolingbrook, IL. The record was last updated on Dec 27, 2013.