Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Rose Jenson, PA-C

Individual provider Physician Assistant · NPI 1881945558

Mallory Rose Jenson, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6141 N Cicero Ave
Chicago, IL 60646-4303
Phone: (224) 364-2273
Fax: (847) 663-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004404 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.004404 (IL)

Record details

NPI number1881945558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2012
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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