Active NPI
Zafer Jawich M.D. S.C.
- Internal Medicine Physician
- New Lenox, IL
National Provider Identifier
1497842884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092398 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- New Lenox, IL
- NPI 1861078776
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.