Provider Demographics
NPI:1255373312
Name:JIANG, JESSE JINXING (MD)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:JINXING
Last Name:JIANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1901 W HARRISON ST
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-7515
Mailing Address - Fax:312-864-9244
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-7515
Practice Address - Fax:312-864-9244
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-108317207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology