Provider Demographics
NPI:1558357228
Name:JABRI, NABEEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NABEEL
Middle Name:
Last Name:JABRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2158 45TH ST
Mailing Address - Street 2:#233
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-3742
Mailing Address - Country:US
Mailing Address - Phone:219-836-9600
Mailing Address - Fax:219-836-9601
Practice Address - Street 1:8230 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1753
Practice Address - Country:US
Practice Address - Phone:219-836-9600
Practice Address - Fax:219-836-9601
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036077585207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN254840AOtherMEDICARE PTAN
IN200217080Medicaid
IL$$$$$$$$$Medicaid
IN200217080Medicaid
IL$$$$$$$$$Medicaid
INIL3209001Medicare PIN