BAILAN JIN D.N. NPI 1669546685

NPI Information

NPI: 1669546685
Provider Name: BAILAN JIN, D.N.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2165 S CHINA PL
SUITE B
CHICAGO, IL
ZIP 60616
Phone: (773) 386-2683
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Bailan Jin, D.N. is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bailan Jin, D.N. NPI is 1669546685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2165 S CHINA PL
SUITE B
CHICAGO, IL
ZIP 60616-536
Phone: (773) 386-2683
Fax: (312) 225-4047

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		181-000303	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01633495	OTHER	ILLINOIS	BLUESHIELD PROVIDER NUMBE
2	13-4246199	OTHER	ILLINOIS	EIN
3	181-000303	OTHER	ILLINOIS	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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