Jennifer N Jensen (NPI# 1790186955, PAC ID# 9133446099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1790186955 |
PAC ID by PECOS | 9133446099 |
Professional Enrollment ID | I20150402001461 |
Full Name | Jennifer N Jensen |
Organization Legal Name | LAKE HEART SPECIALISTS |
Address |
1870 W Winchester Rd Libertyville IL 60048-5360 |
Phone Number | 84754901700 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6305749490 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140202 | ADVOCATE CONDELL MEDICAL CENTER |
140084 | VISTA MEDICAL CENTER EAST |
Address | Phone | Organization |
---|---|---|
1870 W Winchester Rd, Libertyville, IL 60048-5360 | 84754901700 | LAKE HEART SPECIALISTS |
1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 | 84754901700 | LAKE HEART SPECIALISTS |
Organization Legal Name | LAKE HEART SPECIALISTS |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles Edward Jaffe | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 731 S Il Route 21, Suite 110, Gurnee, IL 60031-3803 |
Raymond Chow | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 731 S Il Route 21, Suite 110, Gurnee, IL 60031-3803 |
Fahd Jajeh | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 |
Benjamin L Rojas Jr. | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 |
Maher C Nahlawi | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 |
Robert J Koch | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 |
Street Address |
1870 W WINCHESTER RD |
City | LIBERTYVILLE |
State | IL |
Zip | 60048-5360 |
Name | Specialty | Organization | Address |
---|---|---|---|
William A Martinez | Family Medicine | 1870 W Winchester Rd, Suite 145, Libertyville, IL 60048-5359 | |
Katherin M Aoki | Certified Registered Nurse Anesthetist (crna) | Liberty Anesthesia Services LLC | 1870 W Winchester Rd, Suite 146, Libertyville, IL 60048-5359 |
Dimitri Bagrov | Certified Registered Nurse Anesthetist (crna) | Liberty Anesthesia Services LLC | 1870 W Winchester Rd, Suite 146, Libertyville, IL 60048-5359 |
Chanda L Von Heimburg | Certified Registered Nurse Anesthetist (crna) | Liberty Anesthesia Services LLC | 1870 W Winchester Rd, Suite 146, Libertyville, IL 60048-5359 |
Kristin Nicole Vercillo | Colorectal Surgery (proctology) | Surgeons of Lake County LLC | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5365 |
William Watson | General Surgery | Surgeons of Lake County LLC | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5365 |
Scott C Otto | General Surgery | Surgeons of Lake County LLC | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5365 |
Lois A Barnes | Certified Registered Nurse Anesthetist (crna) | Liberty Anesthesia Services LLC | 1870 W Winchester Rd, Suite 146, Libertyville, IL 60048-5359 |
Fahd Jajeh | Cardiovascular Disease (cardiology) | Lake Heart Specialists | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5360 |
Yury Shklyar | Family Medicine | 1870 W Winchester Rd, Suite 144, Libertyville, IL 60048-5359 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Find all physicians in zip 60048 |
City | LIBERTYVILLE |
Zip Code | 60048 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LIBERTYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer N Jensen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.