Jenny Li, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035193 Issued in IL

Practice address

5521 S Kedzie Ave Unit 105
Chicago, IL 60629-2448

Phone

(773) 434-1600

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1942043815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 N BRADFORD PL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148220",
            "telephone_number": "309-621-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 S KEDZIE AVE UNIT 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292448",
            "telephone_number": "773-434-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JENNY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heqi Li
• Huihua Li, MD
• Jack Zhenqi Li
• James Wenhan Li
• Jaslynn Li
• Jessie Li, MD
• Jia Li
• Jia F Li, PHARM.D,MBA
• Jialu Li, MA, LPC
• Jingfei Li, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.