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1396879672
JESSE KONG
DOWNERS GROVE, IL
NPI
1396879672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085-002627)
Enumeration Date
2007-03-16
Last Update Date
2022-05-26
Business Address
JESSE KONG MMS, PA-C
3551 HIGHLAND AVE STE 200A
DOWNERS GROVE, IL 60515-2100
Phone number: 844-376-3876
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Mailing Address
JESSE KONG MMS, PA-C
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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