Provider Demographics
NPI:1174695076
Name:JABBAR, NIHAD F (DC)
Entity type:Individual
Prefix:DR
First Name:NIHAD
Middle Name:F
Last Name:JABBAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 HASSERT BLVD
Mailing Address - Street 2:127
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564
Mailing Address - Country:US
Mailing Address - Phone:630-922-7540
Mailing Address - Fax:
Practice Address - Street 1:2735 HASSERT BLVD
Practice Address - Street 2:127
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564
Practice Address - Country:US
Practice Address - Phone:630-922-7540
Practice Address - Fax:630-922-7544
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009241111N00000X
WI3716-12111N00000X
OHDC.3095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9932283OtherBLUE CROSS & BLUE SHIELD
ILK17431Medicare ID - Type Unspecified