Individual
JALAL AGAKISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
(800) 458-6253
Mailing address
3707 NICOLLET AVE, MINNEAPOLIS, MN 55409-1236
(202) 341-8988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79420
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
05/02/2025
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