Southwest Diabetes Endocrinology Associates SC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

SOUTHWEST DIABETES ENDOCRINOLOGY ASSOCIATES SC

Practice address

150 W High St
Morris, IL 60450-1463

Phone

(815) 942-2932

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Nabeel Jabri, MD

Title

President

Phone

(217) 784-4272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Southwest Diabetes and Endocrinology Associates, SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Joliet, IL
  • NPI 1154592442

  O20071129000076

  Same enrollment

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1164552550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "815-942-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "815-942-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIABETES ENDOCRINOLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "JABRI",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-784-4272",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Signature Homecare Services, Inc.,
• Jamie Ellen Sikora, AU.D
• Silver Cross Hospital and Medical Centers
• Catherine Ann Snyder, LPN
• Angela Solis, LCPC
• Southwest Hearing Solutions, PLLC
• Southwest Physical Therapy and Rehabiliation, LTD
• Austin J Spoon, NP
• Amy Lynn Staker, APRN
• Alicia Anne Stalker, LMFT

• Endocrinology, Diabetes & Metabolism Physician in Morris, IL
• Providers in Morris, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.