JENNIFER KANG (NPI# 1912307448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912307448 |
| Entity Type | Individual |
| Full Name | JENNIFER KANG |
| Practice Address |
353 E Burlington St Suite 100 Riverside IL 60546-2189 |
| Practice Telephone | 7084420221 |
| Practice Fax Number | 7084425670 |
| Mailing Telephone | 7084420221 |
| Mailing Fax Number | 7084425670 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085005188 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015675 | Jennifer Kang | Pharmacist | 717 Carhart Ave Apt B2, Fullerton, CA 92833-2300 | 2019-07-17 |
| 1477036721 | Jennifer Kang | Occupational Therapist | 823 N 129th Infantry Dr Ste 104, Joliet, IL 60435-8347 | 2018-09-12 |
| 1740666874 | Jennifer Kang | Physical Therapist | 3 Hawkes Ave, Ossining, NY 10562-2502 | 2015-07-30 |
| 1205353422 | Jennifer Un-jin Kang | Nurse Practitioner | 980 Sanders Rd Ste 100, Cumming, GA 30041-5977 | 2017-08-28 |
| 1821521766 | Jennifer Kang | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2017-04-07 |
| 1174054381 | Jennifer Kang | Nurse Practitioner | 11402 South St, Cerritos, CA 90703-6611 | 2017-03-21 |
| 1477929032 | Jennifer Kang | Occupational Therapist | 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 | 2015-08-18 |
| 1073908125 | Jennifer Hearim Kang | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2015-04-04 |
| 1154574812 | Jennifer J Kang | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2008-10-28 |
| 1417132572 | Jennifer Anne Kang | Obstetrics & Gynecology | 2216 Buenaventura Blvd, Suite B, Redding, CA 96001-3838 | 2008-01-08 |
| Street Address |
353 E BURLINGTON ST SUITE 100 |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1316409386 | Kevin Cayanan | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2019-04-01 |
| 1407339765 | Adriane Weaver | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2018-09-12 |
| 1093016016 | Samantha R Adamczyk | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2010-11-08 |
| 1124179817 | Nicolas S Anderson | Podiatrist | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2007-01-16 |
| 1952469454 | Orthopaedic Associates of Riverside,llc | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-12-05 |
| 1417058934 | Alan D Moses | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-09-26 |
| 1811097918 | High-tech Imaging, Inc. | Spec/Tech, Cardiovascular | 353 E Burlington St, Suite 204, Riverside, IL 60546-2189 | 2006-09-25 |
| 1952381865 | Erling Ho | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-01-18 |
| 1154313427 | Staci Michelle Vetrovsky | Dietitian, Registered | 353 E Burlington St, Suite 202, Riverside, IL 60546-2189 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1265716302 | Allen Y. Iloreta | Physician Assistant | 10600 Magnolia Ave Ste I, Riverside, CA 92505-1819 | 2011-10-07 |
| 1457300436 | Mission Surgical Clinic, Inc. | Physician Assistant | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 2006-05-08 |
| 1023079183 | Haider Spine Center Medical Group | Physician Assistant | 6276 River Crest Dr, Riverside, CA 92507-0754 | 2006-03-29 |
| 1982129342 | Henderson Surgical Physician Assistant | Physician Assistant | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-08-07 |
| 1851755128 | Anthony Cramer | Physician Assistant | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2016-04-12 |
| 1750533618 | Kayleeta Evonne Robinson | Physician Assistant | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2008-10-22 |
| 1588750152 | Monica Falcon | Physician Assistant | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 2006-10-04 |
| 1417058934 | Alan D Moses | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.