Southwest Diabetes And Endocrinology Associates, Sc | |
2121 Oneida St Suite 301 Joliet IL 60435-6544 | |
(815) 727-1900 | |
(630) 792-8919 |
Full Name | Southwest Diabetes And Endocrinology Associates, Sc |
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Speciality | Internal Medicine |
Location | 2121 Oneida St, Joliet, Illinois |
Authorized Official Name and Position | Nabeel Jabri (OWNER) |
Authorized Official Contact | 2196623931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southwest Diabetes And Endocrinology Associates, Sc 6688 Joliet Rd # 202 Countryside IL 60525-4575 Ph: (219) 836-9600 | Southwest Diabetes And Endocrinology Associates, Sc 2121 Oneida St Suite 301 Joliet IL 60435-6544 Ph: (815) 727-1900 |
NPI Number | 1154592442 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3476642422 |
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Medicare Enrollment ID | O20071129000076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154592442 | NPI | - | NPPES |
324724679 | Medicaid | IL | |
7142413 | Other | IL | CIGNA |
DO2673 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Nabeel M Jabri |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1558357228 PECOS PAC ID: 2264533553 Enrollment ID: I20070731000534 |
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