Jessica Chin
Colon & Rectal Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1164051165
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1164051165
- Entity type
- Individual (NPI-1)
- Name
- Jessica Chin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 036164161 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 208600000X | Surgery | 036164161 | IL |
Practice location
836 W Wellington AveChicago, IL 60657-5147
Phone 773-975-1600
Mailing address
836 W Wellington Ave Ste 1312Chicago, IL 60657-5147
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All 48 Colon & Rectal Surgery Physician providers in Chicago · All 81,422 providers in Chicago
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