Jabbour, Jerome Antoun

Jabbour, Jerome Antoun is an individual health care provider with primary practice located at 2310 York St Suite 2 C, Blue Island IL 60406-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jabbour, Jerome Antoun can be contacted via phone (773) 809-3622.

Contact Information

Primary practice address
2310 York St Suite 2 C Blue Island IL 60406-2411
Phone: (773) 809-3622
Fax: (773) 409-8659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060708A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036119492 Illinois

Profile Details

NPI number 1255325676
LBN Legal business name Jabbour, Jerome Antoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 23rd, 2011 - about 13 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255325676 NPPES
Indiana MEDICAID 200525220

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