Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036069867 | IL |
NPI | 1003916586 |
---|---|
Provider Name | Dr. Samarjit S Jaglan |
First Address | Glenview, IL 60025-3573 |
Second Address | Des Plaines, IL 60016-6850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036069867 | (05) | IL |
A79193 | (02) | IL |