Provider Demographics
NPI:1912216813
Name:JENSEN CONSULTING GROUP
Entity Type:Organization
Organization Name:JENSEN CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-688-1462
Mailing Address - Street 1:135 N GREENLEAF ST STE 228
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3371
Mailing Address - Country:US
Mailing Address - Phone:630-688-1462
Mailing Address - Fax:847-263-5850
Practice Address - Street 1:135 N GREENLEAF ST STE 228
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3371
Practice Address - Country:US
Practice Address - Phone:630-688-1462
Practice Address - Fax:847-263-5850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2012-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty