MS. EMILY ELISE JENSEN (NPI# 1497030118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497030118 |
| Entity Type | Individual |
| Full Name | MS. EMILY ELISE JENSEN |
| Credential | PA |
| Practice Address |
391 S Bolingbrook Dr Bolingbrook IL 60440-3411 |
| Mailing Address |
17735 S Williamsburg Dr Plainfield IL 60586-8636 |
| Practice Telephone | 6302261006 |
| Mailing Telephone | 6306433886 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2013-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004165 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE MEDICAL LICENSE | 085004165 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672904 | Emily Banzer Jensen | Speech-Language Pathologist | 71 Inslee St, Waterloo, NY 13165-1531 | 2020-09-03 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1154825396 | Emily Jensen | Lactation Consultant, Non-RN | 8890 Sw Pelham Ct, Beaverton, OR 97008-7289 | 2018-03-21 |
| 1376576934 | Emily Lynn Jensen | Physical Therapist | 166 Patterson Ave, Suite 8, Shrewsbury, NJ 07702-4176 | 2006-07-08 |
| 1346841194 | Emily A Jensen | Audiologist | 3195 Saint Rose Pkwy Ste 210, Henderson, NV 89052-3504 | 2020-11-06 |
| 1659978823 | Emily Lenai Jensen | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-01 |
| 1497215305 | Emily Jordan Jensen | Marriage & Family Therapist | 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110-3618 | 2019-03-25 |
| 1528542966 | Emily Grace Jensen | Physician Assistant | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2018-09-21 |
| 1982091211 | Emily Jensen | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2015-04-24 |
| 1497140065 | Emily Jensen | Internal Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2015-04-01 |
| Street Address |
391 S BOLINGBROOK DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275652778 | Scott M Sallin | Physical Therapist | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2007-03-28 |
| 1629675186 | Gina Marie Casale-ryan | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2020-10-07 |
| 1760099576 | Perry William Crawford | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2020-09-25 |
| 1235776170 | Mary Elizabeth Garrison | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2019-12-10 |
| 1427583798 | Vinod V Khandate | Physical Therapist | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2017-04-25 |
| 1942671425 | Garret Majlinger | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2015-10-09 |
| 1871923334 | Philip Knuth | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2013-11-20 |
| 1649541731 | Karen Beth Tagtmeyer | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2012-01-20 |
| 1679724652 | Jessica Weniger | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023416625 | Amanda Hunter | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2014-12-12 |
| 1255311502 | Tiffany Delane | Physician Assistant | 149 N Weber Rd, Bolingbrook, IL 60490-1504 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on MS. EMILY ELISE JENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.