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Individual
ASAD JAMAL
Active
Individual
ASAD JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-114596
IL
207Q00000X
Family Medicine Physician
Primary
036114596
IL
208M00000X
Hospitalist Physician
036114596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114596
—
IL
01
—
553180
MEDICARE GROUP
IL
01
—
834340
MEDICARE GROUP #
IL
01
—
F400220687
MEDICARE PTAN
IL
Enumeration date
06/14/2006
Last updated
01/24/2025
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