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Individual

DR. JASON L PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
676 N SAINT CLAIR ST STE 7-701, CHICAGO, IL 60611-2927
(312) 695-7950
(312) 926-4771
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036149345
IL
207RP1001X
Pulmonary Disease Physician
036149345
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036149345
IL
208M00000X
Hospitalist Physician
036149345
IL

Other

Enumeration date
04/05/2016
Last updated
06/04/2025
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