Individual provider · Type 1 NPI

Jesse Kong, MMS, PA-C

Surgical Physician Assistant · Downers Grove, IL

NPI number 1396879672 Active

Practice location

3551 Highland Ave Ste 200A
Downers Grove, IL 60515-2100

Call (844) 376-3876 Map

Fax (630) 929-0633

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 25 N Winfield Rd, Winfield, IL 60190-1295 · (630) 933-4056

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085-002627 (IL)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

Other surgical physician assistant providers in Downers Grove

See all in Downers Grove →

About NPI 1396879672

Jesse Kong, MMS, PA-C's National Provider Identifier is 1396879672, issued on Mar 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Downers Grove, IL. The record was last updated on Mar 5, 2025.