Healthcare Provider Details

I. General information

NPI: 1598257545
Provider Name (Legal Business Name): JENNY XIAXIAN MEI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 N WILKE RD
ARLINGTON HEIGHTS IL
60004-1437
US

IV. Provider business mailing address

355 E ERIE ST
CHICAGO IL
60611-3167
US

V. Phone/Fax

Practice location:
  • Phone: 312-238-3693
  • Fax: 312-238-2455
Mailing address:
  • Phone: 312-238-1000
  • Fax: 847-412-6440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.017140
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: