Individual
DR. SHAUKAT JAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
478 PENNSYLVANIA AVE, STE 101, GLEN ELLYN, IL 60137-4436
(630) 545-2887
(630) 682-5276
Mailing address
478 PENNSYLVANIA AVE, STE 101, GLEN ELLYN, IL 60137-4436
(630) 545-2887
(630) 682-5276
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02208490
BCBS
IL
Enumeration date
09/02/2005
Last updated
03/21/2008
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