Provider Demographics
NPI:1740291939
Name:PINSKY, JONATHAN K (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:K
Last Name:PINSKY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:901 MC CLINTOCK DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0872
Mailing Address - Country:US
Mailing Address - Phone:888-220-6432
Mailing Address - Fax:630-654-4253
Practice Address - Street 1:396 REMINGTON BLVD.
Practice Address - Street 2:SUITE 330
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4923
Practice Address - Country:US
Practice Address - Phone:888-220-6432
Practice Address - Fax:630-548-4909
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2015-05-13
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Provider Licenses
StateLicense IDTaxonomies
IL036098764207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036098764Medicaid
IL347710022Medicare PIN
IL036098764Medicaid