Individual
JASVINDER CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
2106 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01079450A
IN
2084N0400X
Neurology Physician
36104108
IL
2084N0600X
Clinical Neurophysiology Physician
36104108
IL
2084V0102X
Vascular Neurology Physician
36104108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36104108
—
IL
Enumeration date
01/30/2006
Last updated
12/01/2017
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