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Individual

JAY JUN-HONG JIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 RILEY HOSPITAL DR # 4270, INDIANAPOLIS, IN 46202-5109
(317) 948-7208
(317) 944-7245
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01080635A
IN
207R00000X
Internal Medicine Physician
01080635A
IN
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
01080635A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300016337
IN
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
06/26/2012
Last updated
02/06/2026
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