JESSE KONG, MMS, PA-C, Surgical DOWNERS GROVE, IL

Contact Information

JESSE KONG, MMS, PA-C

3551 HIGHLAND AVE STE 200A
DOWNERS GROVE, IL 60515-2100

Phone: 844-376-3876
Fax: 630-929-0633
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JESSE KONG · (Male)

NPI Number	`1396879672`
Status	Active
Credentials	MMS, PA-C
Entity	Individual
Enumeration date	03/16/2007
Last updated	03/05/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	IL License # 085-002627 IL Other 206147 MEDICARE PTAN (GROUP) IL Other 206147256 MEDICARE PTAN (INDIVIDUAL)
Hospital affiliation(s)	ADVOCATE GOOD SAMARITAN HOSPITAL - (Acute Care) 3815 HIGHLAND AVENUE DOWNERS GROVE, IL 60515 ADVOCATE LUTHERAN GENERAL HOSPITAL - (Acute Care) 1775 DEMPSTER ST PARK RIDGE, IL 60068

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JESSE KONG, MMS, PA-C – NPI #1396879672Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JESSE KONG · (Male)

Reviews for JESSE KONG

JESSE KONG, MMS, PA-C – NPI #1396879672
Surgical