Individual
JENNY JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857
Mailing address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036157407
IL
207R00000X
Internal Medicine Physician
272882
MA
Other
Enumeration date
03/30/2015
Last updated
09/23/2021
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