Jerry N King, MD is a
Surgery physician based in Palos Park, Illinois. Jerry N King is licensed to practice in Illinois (license number 036-050984) and his current practice location is 12731 S 83rd Ct, Palos Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 361-0020.
NPI number for Jerry N King is 1255506671 and his current mailing address is 12731 S 83rd Ct, Palos Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255506671.
Physician's Profile
Full Name | Jerry N King |
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Gender | Male |
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Speciality | Surgery |
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Location | 12731 S 83rd Ct, Palos Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255506671
- Provider Enumeration Date: 04/27/2008
- Last Update Date: 04/27/2008
Medical Identifiers
Medical identifiers for Jerry N King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255506671 | NPI | - | NPPES |
036-050984 | Other | IL | ILLINOIS STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036-050984 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry N King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jerry N King, MD 12731 S 83rd Ct, Palos Park, IL 60464-2026 Ph: () - | Jerry N King, MD 12731 S 83rd Ct, Palos Park, IL 60464-2026 Ph: (708) 361-0020 |
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