Nabil Jaber, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036076060 Issued in IL

Practice address

1106 N Larkin Ave Uppr Level
Joliet, IL 60435-3455

Phone

(815) 725-6226

Fax

(815) 725-6336

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Dr. Jaber Pediatrics, P.C.

  • Pediatrics Physician
  • Joliet, IL
  • NPI 1053041558
  NPD Authorized official
• Inphynet Primary Care Physicians Midwest, S.C.

  • Physician Assistant
  • Fort Wayne, IN
  • NPI 1528090610
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1679649388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 NORTH LARKIN",
            "address_2": "UPPER LEVEL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-6226",
            "fax_number": "815-725-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LARKIN AVE UPPR LEVEL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353455",
            "telephone_number": "815-725-6226",
            "fax_number": "815-725-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036076060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005424",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iyad Awadallah DMD PC
• J D Brown & Co Inc
• J D Brown & Co Inc
• J.E. Bertolini MD, S.C.
• J.E.Bertolini ,M.D. SC.
• Laura Jackman
• Michael Jacksa, LCPC
• Jessica Jackson, PA-C
• Kennedi D Jackson
• Keri Alyse Jackson

• Pediatrics Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.