Shadi Jibawi, MD
Hospitalist in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1568622686
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1568622686
- Entity type
- Individual (NPI-1)
- Name
- Shadi Jibawi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2008
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036146320 | IL | Yes |
| 207R00000X | Internal Medicine | 03614632 | IL | |
| 207R00000X | Internal Medicine | 4301092393 | MI | |
| 207R00000X | Internal Medicine | 036146320 | IL | |
| 208M00000X | Hospitalist | 03614632 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301092393 | MI |
Practice location
20201 Crawford AveOlympia Fields, IL 60461-1010
Phone 708-679-2160 · Fax 708-679-2161
Mailing address
6530 Belgian AveKalamazoo, MI 49009-8985
Other practice locations
601 John St
Kalamazoo, MI 49007-5341
Kalamazoo, MI 49007-5341
Phone 269-341-8481 · Fax 269-341-7781
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