| A M Jabr Md Sc | |
|
2222 W Division St Ste 260 Chicago IL 60622-2990 | |
| (773) 227-3770 | |
| (773) 227-9737 |
| Full Name | A M Jabr Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 2222 W Division St Ste 260, Chicago, Illinois |
| Authorized Official Name and Position | Ayman Jabr (OWNER) |
| Authorized Official Contact | 7732273770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A M Jabr Md Sc Po Box 724 Orland Park IL 60462-0724 Ph: (708) 364-7666 | A M Jabr Md Sc 2222 W Division St Ste 260 Chicago IL 60622-2990 Ph: (773) 227-3770 |
| NPI Number | 1205027810 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 5294798385 |
|---|---|
| Medicare Enrollment ID | O20041109001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205027810 | NPI | - | NPPES |
| 01634771 | Other | IL | BLUE CROSS |
| 036110045 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036110045 (Illinois) | Primary |
| Provider Name | Ayman M Jabr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669582417 PECOS PAC ID: 4789575861 Enrollment ID: I20040320000553 |
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