Healthcare Provider Details

I. General information

NPI: 1194354688
Provider Name (Legal Business Name): SALMA A ALJAMAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21202 OWENS RD STE 300
MOKENA IL
60448-2038
US

IV. Provider business mailing address

21202 OWENS RD STE 300
MOKENA IL
60448-2038
US

V. Phone/Fax

Practice location:
  • Phone: 779-334-0010
  • Fax: 779-334-0011
Mailing address:
  • Phone: 779-334-0010
  • Fax: 779-334-0011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number76678-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036180320
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: