Jibawi, Shadi
Jibawi, Shadi is an individual health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jibawi, Shadi can be contacted via phone (708) 679-2160.Contact Information
Primary practice address
20201 Crawford Ave
Olympia Fields IL 60461-1010
Phone: (708) 679-2160
Fax: (708) 679-2161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 03614632 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301092393 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036146320 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 03614632 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301092393 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036146320 | Illinois |
Profile Details
| NPI number | 1568622686 |
|---|---|
| LBN Legal business name | Jibawi, Shadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Jun 21st, 2023 - 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 | 1568622686 | NPPES |
| Michigan | MEDICAID | 1568622686 | |
| Michigan | Other | 1417961137 |
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