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NPI Code Detail

MEDICARE: DR. KRISH JAY MIGLANI MD

MEDICARE:  DR. KRISH JAY MIGLANI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036.154272IL

General Provider Information

NPI Number : 1598293920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISH JAY MIGLANI MD
Provider Business Mailing Address
First Line : 375 N WALL ST STE P310
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-3484
Country : US
Telephone Number : 815-933-0194
Fax Number :
Provider Business Practice Location Address
First Line : 375 N WALL ST STE P310
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-3484
Country : US
Telephone Number : 815-933-0194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 09/23/2020

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Directions to “ DR. KRISH JAY MIGLANI MD” Practice Location

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