Abelardo J. Jarava MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036086850 Issued in IL

Legal business name

ABELARDO J. JARAVA MD SC

Practice address

3336 N Ashland Ave
Chicago, IL 60657-2109

Phone

(773) 472-2936

Fax

(773) 472-5306

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abelardo J Jarava, M.DNPI 1780690362

Title

Medical Director

Phone

(773) 472-2936

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abelardo J Jarava, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780690362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1740595198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572109",
            "telephone_number": "773-472-2936",
            "fax_number": "773-472-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572109",
            "telephone_number": "773-472-2936",
            "fax_number": "773-472-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABELARDO J. JARAVA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "JARAVA",
        "authorized_official_first_name": "ABELARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-472-2936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036086850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie Elizabeth Abegglen, MSPT
• Liberty Ruth Abegglen
• Rita C Abejo, MD
• Logan Brendan Abel, MD
• Myranda Lynn Abel
• Alejandra Abelenda, OT
• Jette Abelido, DPT
• Abella Health Care
• Josephine Abelleira, OTR/L
• Milagros M. Abellera, APN

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.