Individual
JONATHAN R JAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(855) 742-9438
Mailing address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(855) 742-9438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001033
IN
207X00000X
Orthopaedic Surgery Physician
02001033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387160
ANTHEM
IN
05
—
100366110
—
IN
05
—
20916250
—
IN
01
—
4362881
AETNA
—
01
—
90001255
BLUECROSSBLUESHIELD/ILLIN
IN
Enumeration date
07/26/2005
Last updated
02/15/2022
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