Individual
NIDAL JIBAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006966A
IN
207R00000X
Internal Medicine Physician
036.161980
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02006966A
IN
Other
Enumeration date
03/23/2018
Last updated
10/08/2025
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