Individual
SALEM JAFILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 989-3920
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
73218
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100088
—
WI
Enumeration date
04/23/2015
Last updated
07/27/2022
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