Organization Active NPI

Jatoi Clinic, LTD.

  • Ph.D. Medical Genetics
  • Decatur, IL
National Provider Identifier
1083659171
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
JATOI CLINIC, LTD.
Practice address
1750 E Lake Shore Dr
Suite 100
Decatur, IL 62521-3809
Phone
(217) 464-2505
Fax
(217) 464-3144
NPI assigned
Jun 20, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Naeemuddin Jatoi, M.D.NPI 1922070333
Title
Owner
Phone
(217) 464-2505

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
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

1750 E Lake Shore Dr
Suite 100
Decatur, IL 62521-3809

Mailing address

1750 E Lake Shore Dr
Suite 100
Decatur, IL 62521-3809
Phone (217) 464-2505

National Provider Directory

National Provider Directory

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1083659171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DR",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-464-2505",
            "fax_number": "217-464-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DR",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-464-2505",
            "fax_number": "217-464-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JATOI CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "JATOI",
        "authorized_official_first_name": "NAEEMUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-464-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.