Most Relevant Information
Provider Data
| NPI Number: | 1003831322 |
| Provider Name: | JAY MICHAEL PENSLER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
680 N LAKE SHORE DR
SUITE 1125
CHICAGO
IL
606114546
Practice Location Phone/Fax
| Phone: | 3126427777 |
| Fax: | 3126423333 |
Provider Mailing Location
680 N LAKE SHORE DR
SUITE 1125
CHICAGO
IL
606114546
Provider Mailing Phone/Fax
| Phone: | 3126427777 |
| Fax: | 3126423333 |