Organization Active NPI

Dr. Jaber Pediatrics, P.C.

  • Pediatrics Physician
  • Joliet, IL
National Provider Identifier
1053041558
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DR. JABER PEDIATRICS, P.C.
Practice address
1106 N Larkin Ave Uppr Level
Joliet, IL 60435-3455
Phone
(815) 725-6226
Fax
(815) 725-6336
NPI assigned
Jun 16, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nabil Jaber, MDNPI 1679649388
Title
MD/Ceo
Phone
(815) 725-6226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1106 N Larkin Ave Uppr Level
Joliet, IL 60435-3455

Mailing address

1106 N Larkin Ave Uppr Level
Joliet, IL 60435-3455
Phone (815) 725-6226

Other identifiers 1

IdentifierTypeStateIssuer
036076060MedicaidIL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1044128Dr Jaber Pediatrics1106 N Larkin Ave, Joliet, IL 60435Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Locations

1106 N Larkin Ave
Uppr
Joliet, IL 60435
Phone (815) 725-6226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1053041558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N LARKIN AVE UPPR LEVEL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353455",
            "telephone_number": "815-725-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LARKIN AVE UPPR LEVEL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353455",
            "telephone_number": "815-725-6226",
            "fax_number": "815-725-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JABER PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "815-725-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.