Individual
JINGYUAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # MC6065, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
5841 S MARYLAND AVE # MC6065, CHICAGO, IL 60637-1443
(888) 824-0200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.559244
IL
363L00000X
Nurse Practitioner
Primary
209031049
IL
Other
Enumeration date
10/29/2024
Last updated
11/14/2024
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