Jerome B Bizimana

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

671 Serendipity Dr
Aurora, IL 60504-4389

Phone

(331) 250-6589

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1912651258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 SERENDIPITY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044389",
            "telephone_number": "331-250-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 SERENDIPITY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044389",
            "telephone_number": "331-250-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZIMANA",
        "first_name": "JEROME",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie M Bisaillon, LCSW
• Matthew Glenn Bischoff, DVM
• Shane Erik Bishir, M.A.,CCC-SLP/L
• Ryan Joseph Bishton, DC
• Stephanie Biziarek, OTR/L
• Elaine Black
• Pamela M Black
• Fedra Blackerby, PHARMD
• Karen Lynn Blackwell, PT, PCS
• John N Blair, MD

• Driver in Aurora, IL
• Providers in Aurora, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.