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Individual

DR. JASBIR GREWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
158 W 27TH ST, 11TH FL. SOUTH, NEW YORK, NY 10001-6216
(212) 563-2497
(212) 563-0605

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.176281
IL
2085R0202X
Diagnostic Radiology Physician
Primary
154278
NY
2085R0202X
Diagnostic Radiology Physician
C1-002511
DE
2085R0202X
Diagnostic Radiology Physician
W0413
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01336823
NY
Enumeration date
01/31/2007
Last updated
01/21/2026
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