Healthcare Provider Details
I. General information
NPI: 1982916425
Provider Name (Legal Business Name): UMAIR JABBAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/13/2010
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2349
US
IV. Provider business mailing address
4901 SEARLE PKWY
SKOKIE IL
60077-5313
US
V. Phone/Fax
- Phone: 847-982-6710
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 125.057666 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 036-133965 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 036-133965 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: