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Jonathan Du

Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).

NPI number1407433352
StatusActive
Last updated in NPPESJun 21, 2022

Details

NPI
1407433352
Entity type
Individual (NPI-1)
Name
Jonathan Du
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2021
Certification date
Apr 7, 2021
Last updated
Jun 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Phone 724-467-0307

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Phone 773-702-1150

Other practice locations

110 Irving St Nw
Dept Of Internal Medicine
Washington, DC 20010-3017

Phone 202-877-8278 · Fax 202-877-6292

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