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

Jenna Sarantakos, DO

Individual provider Family Medicine Physician · NPI 1790309508

Jenna Sarantakos, DO is a Family Practice in St Francis, Wisconsin. Qualified in 2023, 3 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
3
Licensed in
IA, WI
In the registry since
2020
Specialties on file
2
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

2000 E Layton Ave
St Francis, WI 53235-6053
Phone: (414) 744-6589
Fax: (414) 747-8848
Show map & directions

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

Additional practice locations (1)

  • 1345 W Central Park Ave, Davenport, IA 52804-1844 — (563) 421-4400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81205 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-11880 (IA)

Record details

NPI number1790309508
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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