Individual
JAGPAL S. SAHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006023095
MO
208M00000X
Hospitalist Physician
Primary
036115994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083712202
—
MO
01
—
P00650205
RAILROAD MEDICARE
MO
Enumeration date
09/20/2006
Last updated
06/23/2021
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