Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pim Jetanalin, MD

Individual provider Rheumatology Physician · NPI 1871785667

Dr. Pim Jetanalin, MD is a Rheumatology in Chicago, Illinois. Qualified in 2003, 23 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 W Taylor St
Chicago, IL 60612-4795
Phone: (312) 413-9310
Fax: (816) 404-5014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 036153543 (IL)
Rheumatology Physician Taxonomy 207RR0500X · Licence 2012006518 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871785667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022
Mailing address818 S Wolcott Ave Ste 6, Chicago, IL 60612-3704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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