MEDICARE: J & I PEDIATRIC CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	350H211870	OTHER	MI	BCBSM GROUP NUMBER

General Provider Information

NPI Number	:	1932229382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & I PEDIATRIC CARE CENTER

Provider Business Mailing Address
First Line	:	9720 DIX
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1566
Country	:	US
Telephone Number	:	313-841-1680
Fax Number	:

Provider Business Practice Location Address
First Line	:	9720 DIX
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1566
Country	:	US
Telephone Number	:	313-841-1680
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MANAL N HADDAD
Credential	:
Telephone Number	:	313-841-1680

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	02/06/2020

Similar Medicare Providers

1124091376 — DR. ISSA T. HADDAD MD
Practice Location Address:

9720 DIX
DEARBORN, MI
48120-1566

Practice Phone: 313-841-1680
Practice Fax: 313-841-3123

1447224043 — DR. JIRIES T HADDAD MD
Practice Location Address:

9720 DIX
DEARBORN, MI
48120-1566

Practice Phone: 313-841-1680
Practice Fax: 313-841-3123

1285670695 — DR. NAZIR HAKMEH MD
Practice Location Address:

9720 DIX
DEARBORN, MI
48120-1566

Practice Phone: 313-841-1680
Practice Fax: 313-841-3123

1598834038 — WOMEN MEDICAL CENTER,PC
Practice Location Address:

9724 DIX
DEARBORN, MI
48120-1566

Practice Phone: 313-841-3400
Practice Fax: 313-841-6890

1023320231 — RAED HADDAD M.D.
Practice Location Address:

9720 DIX , STE B
DEARBORN, MI
48120-1566

Practice Phone: 313-843-1973
Practice Fax: 313-843-1961

1356790778 — TANIA HADDAD ABIAAD D.O.
Practice Location Address:

9720 DIX
DEARBORN, MI
48120-1566

Practice Phone: 313-841-1680
Practice Fax: 313-841-3123

Directions to “J & I PEDIATRIC CARE CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.