Healthcare Provider Details

I. General information

NPI: 1952190662
Provider Name (Legal Business Name): MUHAMMAD SAAD JAFRI MBBS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date: 01/13/2026
Reactivation Date: 07/28/2026

III. Provider practice location address

3333 GREEN BAY ROAD MEDICINE RESIDENCY ADMINISTRATOR-OFFICE OF GME
NORTH CHICAGO IL
60064
US

IV. Provider business mailing address

3333 GREEN BAY ROAD MEDICINE RESIDENCY ADMINISTRATOR-OFFICE OF GME
NORTH CHICAGO IL
60064
US

V. Phone/Fax

Practice location:
  • Phone: 847-578-3227
  • Fax: 847-578-8778
Mailing address:
  • Phone: 847-578-3227
  • Fax: 847-578-8778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: