Individual
JERRY N KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12731 S 83RD CT, PALOS PARK, IL 60464-2026
(708) 361-0020
(708) 361-5392
Mailing address
12731 S 83RD CT, PALOS PARK, IL 60464-2026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-050984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-050984
ILLINOIS STATE MEDICAL LICENSE
IL
Enumeration date
04/27/2008
Last updated
04/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us