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NPI Code Detail

MEDICARE: DR. AISHA JALEEL MD

MEDICARE: DR. AISHA JALEEL 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 Physician036060798IL

General Provider Information

NPI Number : 1619968203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AISHA JALEEL MD
Provider Business Mailing Address
First Line : 3240 W FRANKLIN BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60624-1511
Country : US
Telephone Number : 773-854-7500
Fax Number : 773-287-7873
Provider Business Practice Location Address
First Line : 3240 W FRANKLIN BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60624-1511
Country : US
Telephone Number : 773-854-7500
Fax Number : 773-287-7873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 02/12/2010

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