Organization Active NPI

Zafer Jawich M.D. S.C.

  • Internal Medicine Physician
  • New Lenox, IL
National Provider Identifier
1497842884
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ZAFER JAWICH M.D. S.C.
Practice address
1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9524
Phone
(815) 717-8737
Fax
(815) 717-8699
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Zafer Jawich, M.D.
Title
President
Phone
(815) 717-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9524

Mailing address

1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9524
Phone (815) 717-8737

Other identifiers 1

IdentifierTypeStateIssuer
036092398MedicaidIL

National Provider Directory

National Provider Directory

Locations

1300 Copperfield Ave
Ste 206
Joliet, IL 60432

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1497842884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAFER JAWICH M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "JAWICH",
        "authorized_official_first_name": "ZAFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-717-8737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.