Individual
KEVIN JOHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608
(773) 542-2000
Mailing address
575 W MADISON ST, APT 2508, CHICAGO, IL 60661-2515
(312) 709-8451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125065630
IL
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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