PMG for Skilled Nursing LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PMG FOR SKILLED NURSING LLC

Practice address

1890 Silver Cross Blvd Ste 350
New Lenox, IL 60451-9603

Phone

(815) 717-8737

Fax

(815) 717-8699

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ZAFER JAWICH M.D. S.C.As reported in NPPES

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

Authorized official

Name

Zafer Jawich, MDNPI 1326064536

Title

President

Phone

(630) 854-6540

Specialties & licenses 1

Addresses

Part of

Zafer Jawich MD SC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Zafer Jawich M.D. S.C.

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1497842884
  NPPES parent name

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.

• Zafer Jawich, M.D.

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1326064536
  Authorized official Same address or phone

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1861078776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "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 STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG FOR SKILLED NURSING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZAFER JAWICH M.D. S.C.",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "JAWICH",
        "authorized_official_first_name": "ZAFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-854-6540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loreal Jeanne Pinder, LMT
• Janaya Faith Pinnick
• Hannah Pivaronas, LCSW
• Sarah J Plecki, OT
• Rachel Pluchar, PA
• Xavier F Pombar, DO
• Elizabeth Ponder
• Nina Pope-Osaghae
• Positive Changes Counseling LLC
• Katherine V Powers, PA-C

• Internal Medicine Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.