| Zafer Jawich M.d. S.c. | |
|
1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9524 | |
| (815) 717-8737 | |
| (815) 717-8699 |
| Full Name | Zafer Jawich M.d. S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1890 Silver Cross Blvd, New Lenox, Illinois |
| Authorized Official Name and Position | Zafer Jawich (PRESIDENT) |
| Authorized Official Contact | 8157178737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zafer Jawich M.d. S.c. 1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9524 Ph: (815) 717-8737 | Zafer Jawich M.d. S.c. 1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9524 Ph: (815) 717-8737 |
| NPI Number | 1497842884 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 9537149224 |
|---|---|
| Medicare Enrollment ID | O20040722001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497842884 | NPI | - | NPPES |
| 036092398 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ziad Alnadjim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225235526 PECOS PAC ID: 5395846752 Enrollment ID: I20070730000178 |
| Provider Name | Karen J Krooswyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134477706 PECOS PAC ID: 3274760228 Enrollment ID: I20131218001094 |
| Provider Name | Mazen Diab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134436819 PECOS PAC ID: 3678873114 Enrollment ID: I20160222002768 |
| Provider Name | Jennifer Alice Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336745785 PECOS PAC ID: 7416356126 Enrollment ID: I20210601000692 |
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