Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerry Lee Jensen, DO

Individual provider Family Medicine Physician · NPI 1558372615

Dr. Jerry Lee Jensen, DO is a Family Practice in South Holland, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

15525 S Park Ave Ste 113
South Holland, IL 60473-1308
Phone: (708) 331-5100
Fax: (708) 331-5005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036071680 (IL)

Record details

NPI number1558372615
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address24239 E Cumberland Ct, Crete, IL 60417-1854

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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