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

Jennifer Kang

Individual provider Surgical Physician Assistant · NPI 1912307448

Jennifer Kang is a Physician Assistant in Riverside, Illinois. Qualified in 2014, 12 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014

Practice location Address checks out

353 E Burlington St Ste 100
Riverside, IL 60546-2189
Phone: (708) 442-0221
Fax: (708) 442-5670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085005188 (IL)

Record details

NPI number1912307448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESSeptember 3, 2014
Mailing address353 E Burlington St, Suite 100, Riverside, IL 60546-2189

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Riverside