Individual provider · Type 1 NPI

Ahmed Tejan Jalloh Jr., MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1356083240 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

18 Paerdegat 4th St
Brooklyn, NY 11236-4136

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356083240

Ahmed Tejan Jalloh Jr., MD's National Provider Identifier is 1356083240, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 11, 2022.