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General NPI Number Information
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NPI Number | 1154592442
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Entity Type | Organization
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Legal Business Name | SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 210 N HAMMES AVE STE 106
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City | JOLIET
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State | IL
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Zip | 60435-6688
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Country | US
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Telephone | 815-727-1900
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Fax | 630-792-8919
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Provider Business Mailing Address
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Address Line | 6688 JOLIET RD # 259
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City | LA GRANGE
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State | IL
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Zip | 60525-4575
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Country | US
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Telephone | 219-836-9600
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Fax | 219-836-9601
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Authorized Official
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Title or Position | OWNER
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Name | NABEEL JABRI
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Credential | MD
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Telephone | 219-836-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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