Individual provider · Type 1 NPI

Amit Johal, MD

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

NPI number 1447802525 Active

Practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Mailing address

2400 N Rockton Ave
Rockford, IL 61103-3655

Other practice locations

  • 7702 N Alpine Rd, Loves Park, IL 61111-3107 · (815) 971-3397

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 1447802525

Amit Johal, MD's National Provider Identifier is 1447802525, issued on Jul 10, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Jul 10, 2019.