Individual
JASON NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 PATRIOT BLVD STE 110, GLENVIEW, IL 60026-8039
(312) 694-2273
(847) 998-9833
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036171372
IL
207Q00000X
Family Medicine Physician
125078981
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
12/13/2024
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