Individual
MIR JAFFER ASIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
330 MADISON ST STE 103, JOLIET, IL 60435-6572
(630) 971-6699
(630) 971-6696
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036118676
IL
207RP1001X
Pulmonary Disease Physician
Primary
036118676
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000995543
—
MO
Enumeration date
06/26/2007
Last updated
04/29/2024
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