Individual
DR. JAGODA K JASIELEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036127651
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127651
STATE LICENSE
IL
Enumeration date
04/02/2008
Last updated
05/07/2018
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