Jong Lak Jin is a Family Medicine in Chicago, Illinois. Jong Lak Jin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jong Lak Jin is 1225062912. The last update date is 2007-07-08.
Jong Lak Jin's current location address is 3414 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7734781777 and fax number 7734781964. The mailing address for Jong Lak Jin is 3414 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jong Lak Jin |
|---|---|
| Address | 3414 W Peterson Ave, Chicago, Illinois |
| Phone Number | 7734781777 |
| Fax Number | 7734781964 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225062912 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3414 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60659 |
| Phone Number | 7734781777 |
| Fax Number | 7734781964 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identification code assigned to Jong Lak Jin by the Centers for Medicare & Medicaid Services?
The Jong Lak Jin has been issued the NPI (National Provider Identifier) 1225062912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jong Lak Jin's facilities are geographically located?
The facilities of Jong Lak Jin are physically situated at the following location: 3414 W Peterson Ave, Chicago, IL, 60659.
What is the Jong Lak Jin's area of specialization and corresponding taxonomy classification?
The Jong Lak Jin's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jong Lak Jin receive its 1225062912 assignment from the Centers for Medicare & Medicaid Services?
The Jong Lak Jin was assigned its 1225062912 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details related to Jong Lak Jin most recently updated or revised?
The information pertaining to Jong Lak Jin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY