KIMBERLY JENSON (NPI# 1700809704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809704 |
| Entity Type | Individual |
| Full Name | KIMBERLY JENSON |
| Credential | M.D. |
| Practice Address |
800 Audubon Way Lincolnshire IL 60069-3811 |
| Practice Telephone | 8478762200 |
| Practice Fax Number | 8478762065 |
| Mailing Telephone | 8478762200 |
| Mailing Fax Number | 8478762265 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-110714 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1982624763-4932996 | 01 |
| IL | EVERCARE | 04-91078 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404906 | Kimberly E Jenson | Pharmacist | 9200 W Wisconsin Ave, Pharmacy Department, Milwaukee, WI 53226-3522 | 2012-03-14 |
| Street Address |
800 AUDUBON WAY |
| City | LINCOLNSHIRE |
| State | IL |
| Zip Code | 60069-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427087063 | Elliott Kroger | Internal Medicine | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2006-07-03 |
| 1215567078 | John Doughty | Occupational Therapist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2020-01-21 |
| 1164077699 | Nick Nicholopoulos | Occupational Therapist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2019-08-01 |
| 1053887448 | Michelle Croak | Speech-Language Pathologist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2018-10-23 |
| 1306349980 | Megan M Goschey | Occupational Therapist | 800 Audubon Way, Lincolnshire, IL 60069 | 2018-03-09 |
| 1861887820 | Julie Clifton | Occupational Therapist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2015-04-06 |
| 1104121664 | Irma Tan | Occupational Therapist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2011-01-14 |
| 1235442880 | Erickson Health Medical Group of Illinois, PC | Durable Medical Equipment & Medical Supplies | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2010-07-23 |
| 1659510873 | Yvette Hammonds | Physical Therapist | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2009-02-11 |
| 1902901168 | Kathryn Anne O'grady | Nurse Practitioner | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2006-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1790123164 | Ann Cameron Cameron Schieber | Dermatology | 275 Parkway Drive, Suite 521, Lincolnshire, IL 60069 | 2013-06-07 |
| 1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
| 1134432537 | Daniel Sorkin, Psy.d., LLC | Psychologist | 430 North Milwaukee Avenue, Suite 15, Lincolnshire, IL 60069 | 2010-07-14 |
| 1538309836 | Lowela Kho Palomares | Physical Therapist | 800 Audobon Way, Lincolnshire, IL 60069 | 2009-02-26 |
| 1962657890 | Lincolnshire Senior Care LLC | Skilled Nursing Facility | 960 Audubon Way, Rose Court, Lincolnshire, IL 60069 | 2008-11-19 |
| 1184885964 | Kristina Marie Ward | Pediatrics | 185 N. Milwaukee Ave, Suite 220, Lincolnshire, IL 60069 | 2008-06-24 |
| 1922159508 | Dolores Imroth Braun | Counselor | 24 Wimbledon Ct, Lincolnshire, IL 60069 | 2007-01-12 |
| 1588738439 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 300 Village Grn Ste 205, Lincolnshire, IL 60069 | 2006-11-20 |
| 1164439030 | Leanne Reed | Physical Therapist | 2525 Waukegan Rd #255, Bannockburn, IL 60069 | 2006-08-02 |
| Find all providers in zip 60069 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518228329 | Gloria Loretta Jane Hilker | Internal Medicine | 209 Rivershire Lane, Suite 605, Lincolnshire, IL 60069-3821 | 2012-06-07 |
| 1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
| 1689715856 | Charles Francis Schwamlein | Internal Medicine | 3 Court of Bucks County, Lincolnshire, IL 60069-3207 | 2007-02-09 |
| 1427087063 | Elliott Kroger | Internal Medicine | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2006-07-03 |
| 1639133671 | Antonio A Chua Lee | Internal Medicine | 14588 W Highway 22, Lincolnshire, IL 60069-3039 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
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| City | LINCOLNSHIRE |
| Zip Code | 60069 |
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| 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.