Search › Illinois › 363A00000X
Mallory Jenson, PA-C
NPI 1881945558 · on the registry since 2012
Practice
- Address
- 6141 N Cicero Ave
Chicago, IL 60646 - Phone
- (224) 364-2273
- Fax
- (847) 663-8290
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois