Organization Active NPI

Southwest Diabetes and Endocrinology Associates, SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Joliet, IL
National Provider Identifier
1154592442
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC
Practice address
210 N Hammes Ave Ste 106
Joliet, IL 60435-6688
Phone
(815) 727-1900
Fax
(630) 792-8919
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Nabeel Jabri, MDNPI 1558357228
Title
Owner
Phone
(219) 836-9600

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

210 N Hammes Ave Ste 106
Joliet, IL 60435-6688

Mailing address

6688 Joliet Rd # 259
La Grange, IL 60525-4575
Phone (219) 836-9600

Other identifiers 3

IdentifierTypeStateIssuer
324724679MedicaidIL
7142413OtherILCIGNA
DO2673OtherILMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000076 IL Part B Supplier - Clinic/Group Practice 3476642422 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: New Lenox, IL; Joliet, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

215 Remington Blvd
Ste 1
Bolingbrook, IL 60440
Phone (815) 727-1900

2121 Oneida St
Ste 301
Joliet, IL 60435
Phone (815) 730-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGFBD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1154592442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 JOLIET RD # 259",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605254575",
            "telephone_number": "219-836-9600",
            "fax_number": "219-836-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 106",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356688",
            "telephone_number": "815-727-1900",
            "fax_number": "630-792-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "JABRI",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-836-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324724679",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7142413",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DO2673",
            "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 Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.