Individual
SHUXIA JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA; CSFA
Contact information
Practice address
624 LILAS CT, NEW LENOX, IL 60451-3453
(507) 383-3279
(815) 417-9856
Mailing address
624 LILAS CT, NEW LENOX, IL 60451-3453
(507) 383-3279
(815) 417-9856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
238000557
IL
Other
Enumeration date
08/10/2017
Last updated
11/10/2021
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