Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036-72480 | IL |
NPI | 1134199060 |
---|---|
Provider Name | Dr. Jagjit Singh Teji |
First Address | Oak Brook, IL 60523-2620 |
Second Address | Chicago, IL 60616-2333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-72480 | (05) | IL |
C44643 | (02) | IL |