# NERCY JAFARI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316126766
- **Authorized official:** DR. NERCY JAFARI MD PC (OWNER)
- **Authorized official phone:** (630) 368-1830

## Contact information

- **Practice address:** 2425 W 22ND ST, SUITE 213, OAK BROOK, IL 60523-1245
- **Practice address phone:** (630) 368-1830
- **Practice address fax:** (708) 484-7880
- **Mailing address:** 2425 W 22ND ST, SUITE 213, OAK BROOK, IL 60523-1245
- **Mailing address phone:** (630) 368-1830
- **Mailing address fax:** (708) 484-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/01/2007