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SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES SC NPI 1154592442


NPI Information

NPI: 1154592442
Provider Name: SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
2121 ONEIDA ST
SUITE 301
JOLIET, IL
ZIP 60435
Phone: (815) 727-1900
Get Directions

SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC is an endocrinology and diabetes and metabolism internal medicine in Joliet, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SOUTHWEST DIABETES AND ENDOCRINOLOGY ASSOCIATES, SC NPI is 1154592442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 ONEIDA ST
SUITE 301
JOLIET, IL
ZIP 60435-544
Phone: (815) 727-1900
Fax: (630) 792-8919

The provider's authorized official is Nabeel Jabri .
The authorized official title is Owner and has the following contact phone number (219) 662-3931.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17142413OTHERILLINOISCIGNA
2DO2673OTHERILLINOISMEDICARE RAILROAD
3324724679MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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