MEDICARE: JILLIAN CABAI DPM

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	213ES0131X	Foot Surgery Podiatrist	016.005768	IL

General Provider Information

NPI Number	:	1902269301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN CABAI DPM

Provider Business Mailing Address
First Line	:	1660 FEEHANVILLE DR STE 450
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-6023
Country	:	US
Telephone Number	:	847-390-7666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 N HALSTED ST STE 606
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6456
Country	:	US
Telephone Number	:	847-390-7666
Fax Number	:	847-390-9345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	12/20/2021

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