Individual
ASHOK A JAGASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1243
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1243
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-108298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108298
—
IL
Enumeration date
07/17/2006
Last updated
02/27/2024
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