Individual
MICHELLE JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085010802
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
03/19/2026
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