Junior, Jean Amanda

Junior, Jean Amanda is an individual health care provider with primary practice located at 225 E Chicago Ave # 62 , Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Junior, Jean Amanda can be contacted via phone (312) 227-6080.

Contact Information

Primary practice address
225 E Chicago Ave # 62 Chicago IL 60611-2991
Phone: (312) 227-6080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 036.163987 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.163987 Illinois

Profile Details

NPI number 1710340344
LBN Legal business name Junior, Jean Amanda
Credentials MD, MPHIL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2016
Last updated Jul 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710340344 NPPES
Illinois Other 036.163987 DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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