Jamal, Asad

Jamal, Asad is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jamal, Asad can be contacted via phone (815) 285-5629.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021
Phone: (815) 285-5629
Fax: (815) 285-5634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-114596 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036114596 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036114596 Illinois

Profile Details

NPI number 1013950476
LBN Legal business name Jamal, Asad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013950476 NPPES
Illinois Other F400220687 MEDICARE PTAN
Illinois Other 553180 MEDICARE PTAN
Illinois MEDICAID 036114596 MEDICARE PTAN
Illinois Other 834340 MEDICARE PTAN

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