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1942611694
JAGAN KANSAL
CHICAGO, IL
NPI
1942611694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IL 036-153180)
Additional Taxonomies
208800000X Urology
(Licence: WI 70572)
Enumeration Date
2014-05-15
Last Update Date
2023-01-15
Business Address
JAGAN KANSAL M.D
1030 N CLARK ST STE 310
CHICAGO, IL 60610-5413
Phone number: 312-620-1803
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Mailing Address
JAGAN KANSAL M.D
20706 CARDINAL CT
FRANKFORT, IL 60423-3106
Phone number: 312-620-1803
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