Asif, Mir Jaffer

Asif, Mir Jaffer is an individual health care provider with primary practice located at 330 Madison St Ste 103 , Joliet IL 60435-6572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Asif, Mir Jaffer can be contacted via phone (630) 971-6699.

Contact Information

Primary practice address
330 Madison St Ste 103 Joliet IL 60435-6572
Phone: (630) 971-6699
Fax: (630) 971-6696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036118676 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036118676 Illinois

Profile Details

NPI number 1477759389
LBN Legal business name Asif, Mir Jaffer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Apr 29th, 2024 - about 2 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 1477759389 NPPES
Missouri MEDICAID 2000995543

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