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Individual

PANKAJ JALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-8417
(217) 545-4282
Mailing address
PO BOX 19656, SPRINGFIELD, IL 62794-9656
(217) 545-8853
(217) 545-0828

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125-055451
IL

Other

Enumeration date
08/26/2008
Last updated
10/07/2008
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