Active NPI
Adel Jafar
- Driver
- Hickory Hills, IL
National Provider Identifier
1336711209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- J16001379369
- Practice address
- 7943 W 97TH PL
Hickory Hills, IL 60457-2308 - Phone
- (708) 925-8389
- NPI assigned
- Jul 12, 2021
- Last updated
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | J16001379369 | IL | Primary |
Addresses
Primary practice location
7943 W 97TH PL
Hickory Hills, IL 60457-2308
Mailing address
7943 W 97TH PL
Hickory Hills, IL 60457-2308
Phone (708) 925-8389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J16001379369 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1336711209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7943 W 97TH PL",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604572308",
"telephone_number": "708-925-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7943 W 97TH PL",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604572308",
"telephone_number": "708-925-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFAR",
"first_name": "ADEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "J16001379369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.