Jingyuan Fan is a Downers Grove, Illinois based Periodontics who is specialized in
Periodontology. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jingyuan Fan is
000054 for Periodontology in New York. Her current practice location is
3450 Lacey Road, Downers Grove. Patients can reach her at
630-743-4967.
Jingyuan Fan is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Jingyuan Fan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jingyuan Fan |
| Specialization: | Periodontics |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3450 Lacey Road, Downers Grove,
Illinois, 60515-2668 |
| Phone: | 630-743-4967 |
| Fax: | 630-743-4537 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1952718629 |
| NPI Enumeration Date: | 15 Jul, 2014 |
| NPI Last Update On: | 20 Aug, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jingyuan Fan are as mentioned below.
| License Number | Specialization | State | Status | |
| 000054 | Periodontology | New York | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3450 Lacey Road,
Downers Grove, Illinois |
| Zip: | 60515-2668 |
| Phone Number: | 630-743-4967 |
| Fax Number: | 630-743-4537 |
Patients can reach Jingyuan Fan at
3450 Lacey Road, Downers Grove, Illinois or can
call to book an appointment on 630-743-4967.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.