Individual
NILUFAR JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
30 7TH AVE, NEW YORK, NY 10011-6629
(646) 665-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033737-01
NY
363A00000X
Physician Assistant
085010149
IL
Other
Enumeration date
07/13/2022
Last updated
07/28/2025
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