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NPI Code Detail

MEDICARE: A M JABR MD SC

MEDICARE: A M JABR MD SC
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
1207Q00000XFamily Medicine Physician036110045IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101634771OTHERILBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205027810
Entity Type Code : Organization
Provider Name (Legal Business Name) : A M JABR MD SC
Provider Business Mailing Address
First Line : PO BOX 724
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-0724
Country : US
Telephone Number : 708-364-7666
Fax Number : 866-596-1007
Provider Business Practice Location Address
First Line : 2222 W DIVISION ST STE 260
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2990
Country : US
Telephone Number : 773-227-3770
Fax Number : 773-227-9737
Authorized Official
Title or Position : OWNER
Name : DR. AYMAN JABR
Credential : MD SC
Telephone Number : 773-227-3770
Provider Enumeration Date : 08/08/2007
Last Update Date : 04/12/2012

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Directions to “A M JABR MD SC ” Practice Location

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