Jalal Agakishi, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Downers Grove, Illinois. His current practice location is
555 31st St, Downers Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at
(800) 458-6253.
Jalal Agakishi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538838123.
Physician's Profile
Full Name | Jalal Agakishi |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 555 31st St, Downers Grove, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538838123
- Provider Enumeration Date: 09/08/2021
- Last Update Date: 05/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446639553
- Enrollment ID: I20220621001436
Medical Identifiers
Medical identifiers for Jalal Agakishi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538838123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 79420 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalal Agakishi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jalal Agakishi, DO 3707 Nicollet Ave, Minneapolis, MN 55409-1236 Ph: (202) 341-8988 | Jalal Agakishi, DO 555 31st St, Downers Grove, IL 60515-1235 Ph: (800) 458-6253 |
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