Nour Kabbani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036102075 Issued in IL

Practice address

2450 Glenwood Ave
Joliet, IL 60435-5463

Phone

(815) 730-3304

Fax

(815) 730-3305

NPI assigned

Sep 27, 2005

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21705/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Family Healthcare LTD

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1710320361
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1235125907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355463",
            "telephone_number": "815-730-3304",
            "fax_number": "815-730-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355463",
            "telephone_number": "815-730-3304",
            "fax_number": "815-730-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBANI",
        "first_name": "NOUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036102075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Jude, P.T.
• Julia Perine SLP LLC
• Jumpstart Development Inc
• Susan Jungels, LCPC
• K a Boateng MD Facog PC
• Sarah A. Kaczmarski, COTA
• Cynthia M. Kadela, D.C.
• Yasmeen A Kagalwalla, MD
• Jacqueline Kagan
• Setareh Kaikavousi

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.