Reed Douglas Jaworski
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1609721968
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1609721968
- Entity type
- Individual (NPI-1)
- Name
- Reed Douglas Jaworski
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2026
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1853 W Polk StChicago, IL 60612-4355
Phone 312-996-2450
Mailing address
1632 N Damen Ave Apt 3nChicago, IL 60647-5564
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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