Provider Demographics
NPI:1609405653
Name:ZIMMERMAN, HEE CHONG JENNIFER (MD)
Entity type:Individual
Prefix:DR
First Name:HEE CHONG
Middle Name:JENNIFER
Last Name:ZIMMERMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:MS
Other - First Name:HEE CHONG
Other - Middle Name:JENNIFER
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 746721
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6721
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:1450 DEXTER ST # 102
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-1503
Practice Address - Country:US
Practice Address - Phone:303-857-7873
Practice Address - Fax:303-857-7926
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.165856207Q00000X
CODR.0073448207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine