Asif, Mir Jaffer
Asif, Mir Jaffer is an individual health care provider with primary practice located at 330 Madison St Ste 103 , Joliet IL 60435-6572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Asif, Mir Jaffer can be contacted via phone (630) 971-6699.Contact Information
Primary practice address
330 Madison St Ste 103
Joliet IL 60435-6572
Phone: (630) 971-6699
Fax: (630) 971-6696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036118676 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036118676 | Illinois |
Profile Details
| NPI number | 1477759389 |
|---|---|
| LBN Legal business name | Asif, Mir Jaffer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Apr 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477759389 | NPPES |
| Missouri | MEDICAID | 2000995543 |
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