Active NPI
Dr. Jaber Pediatrics, P.C.
- Pediatrics Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nabil Jaber, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036076060 | Medicaid | IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1044128 | Dr Jaber Pediatrics | Certificate of waiver | Aug 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Joliet, IL
- NPI 1679649388
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
- Anthony Doukas, PARAMEDIC
- Rashida Marie Downing, M.D.
- Timothy Winston Doyle, D.O.
- Dr D David Pesavento LTD
- Dr Lucy Dey Diabetes Endocrinology and Metabolism Clinic PC
- Dr. Kelly Hird & Psychological Associates
- Juli Dragisic
- Janel Draxler, MSN, APRN, PMHNP-BC
- DRS Talbot and Smith Family Dental Care
- Du Page Medical Group LTD
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.