Individual
YASMEEN A KAGALWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 MAPLE RD, SILVER CROSS HOSPITAL, JOLIET, IL 60432
(815) 740-1100
(815) 740-7901
Mailing address
6965 RELIABLE PARKWAY, CHICAGO, IL 60686
(815) 740-7073
(815) 740-4966
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-094277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360942771
—
IL
01
—
220026450
RR MC
IL
Enumeration date
04/25/2006
Last updated
07/21/2022
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