Kong, Jesse

Kong, Jesse is an individual health care provider with primary practice located at 3551 Highland Ave Ste 200A , Downers Grove IL 60515-2100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kong, Jesse can be contacted via phone (844) 376-3876.

Contact Information

Primary practice address
3551 Highland Ave Ste 200A Downers Grove IL 60515-2100
Phone: (844) 376-3876
Fax: (630) 929-0633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-002627 Illinois

Profile Details

NPI number 1396879672
LBN Legal business name Kong, Jesse
Credentials MMS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated May 26th, 2022 - about 3 years ago

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 1396879672 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other 206147256 MEDICARE PTAN (GROUP)

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