Jiang, Songquan

Jiang, Songquan is an individual health care provider with primary practice located at 860 Forest Ave Unit A , Evanston IL 60202-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jiang, Songquan can be contacted via phone (773) 273-5453.

Contact Information

Primary practice address
860 Forest Ave Unit A Evanston IL 60202-2473
Phone: (773) 273-5453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209013070 Illinois

Profile Details

NPI number 1992291348
LBN Legal business name Jiang, Songquan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jun 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992291348 NPPES
Illinois Other 2014006230 ANCC
Illinois MEDICAID 209013070 ANCC

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