Individual
JING HARAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2475
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN30146
FL
2085R0202X
Diagnostic Radiology Physician
Primary
036170118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036170118
STATE LICENSE
IL
Enumeration date
03/27/2020
Last updated
02/26/2025
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