Individual
JEVON HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(636) 220-9333
Mailing address
1333 S WABASH AVE, CHICAGO, IL 60605-2549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008582
IL
Other
Enumeration date
01/20/2019
Last updated
02/28/2022
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