Individual
ALEXANDER JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-4900
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.079604
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125079604
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
05/21/2024
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