Organization Active NPI

Aj Medical 1, Inc

  • Pediatrics Physician
  • Joliet, IL
National Provider Identifier
1164335840
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AJ MEDICAL 1, INC
Practice address
1106 N Larkin Ave Uppr Level
Joliet, IL 60435-3455
Phone
(815) 725-6226
Fax
(815) 725-6336
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Anas Jaber, MD
Title
President
Phone
(248) 210-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

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

Mailing address

447 Creekside CT
Willowbrook, IL 60527-5492
Phone (248) 210-4064

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1164335840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 CREEKSIDE CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275492",
            "telephone_number": "248-210-4064"
        },
        {
            "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": "AJ MEDICAL 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-210-4064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.