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1336396969
PANKAJ JALAN
SPRINGFIELD, IL
NPI
1336396969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: IL 125-055451)
Enumeration Date
2008-08-26
Last Update Date
2008-10-07
Business Address
PANKAJ JALAN MD
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-8417
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Mailing Address
PANKAJ JALAN MD
PO BOX 19656
SPRINGFIELD, IL 62794-9656
Phone number: 217-545-8853
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