DR. NAEEMUDDIN JATOI


Address: 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3809
Phone: 2174752880

DR. NAEEMUDDIN JATOI (NPI# 1922070333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922070333
Entity Type Individual
Full Name DR. NAEEMUDDIN JATOI
Credential M.D.
Practice Address 1750 E Lake Shore Dr
Suite 100
Decatur
IL 62521-3809
Practice Telephone 2174752880
Practice Fax Number 2174752881
Mailing Telephone 2174752880
Mailing Fax Number 2174752881
Enumeration Date 2006-02-02
Last Update Date 2011-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036-100857 IL Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 036-100857 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BC/BS 5815191 01
IL HEALTHLINK 896414 01

Office Location

Street Address 1750 E LAKE SHORE DR
SUITE 100
City DECATUR
State IL
Zip Code 62521-3809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285621516 Jon Fredrick Petersen Family Medicine 1750 E Lake Shore Dr, Decatur, IL 62521-3803 2005-10-03
1265947451 Antoniannette Pate Nurse Practitioner 1750 E Lake Shore Dr, Decatur, IL 62521-3803 2017-12-10
1578093225 Jason Blanchetti Nurse Practitioner 1750 E Lake Shore Dr, Decatur, IL 62521-3803 2017-06-15
1992182331 Alyson Webb Nurse Practitioner 1750 E Lake Shore Dr, Ste 310, Decatur, IL 62521-3803 2015-05-06
1932527017 Adills Moosa Preventive Medicine 1750 E Lake Shore Dr, Decatur, IL 62521-3803 2014-04-04
1841579026 Justin William Kierbs Nurse Practitioner 1750 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3803 2011-08-05
1194012260 Nikesh Lath Surgery 1750 E Lake Shore Dr, Decatur, IL 62521-3803 2011-07-08
1922319839 Chinelo C Echeazu Obstetrics & Gynecology 1750 E Lake Shore Dr, Suite 110, Decatur, IL 62521 2010-06-24
1215267596 Vikram S Kotwal Internal Medicine 1750 E Lake Shore Dr, Suite 310, Decatur, IL 62521-3803 2010-01-08
1396073813 Mohammed A. Rahman Neurological Surgery 1750 E Lake Shore Dr, 110, Decatur, IL 62521-3803 2009-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
1295390490 Crossing Recovery Center Substance Abuse Rehabilitation Facility Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 2019-05-03
1396300638 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 E Central Ave, Decatur, IL 62521 2019-05-02
1679138911 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 East Central Ave, Decatur, IL 62521 2019-05-02
1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
1467784090 Community Health Improvement Center Clinic/Center 1221 East Condit Street, Decatur, IL 62521 2010-02-08
1982839056 Kelly Clark Dds PC Dentist 3737 Us Rt 36 E, Decatur, IL 62521 2009-05-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205481736 Northside Nama Professional Services, LLC Internal Medicine 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 2019-08-01
1235632282 Integrated Health and Wellness, LLC Internal Medicine 4150 Snapfinger Woods Dr Ste 200, Decatur, GA 30035-3417 2018-03-16
1619487428 William Charles Levine Internal Medicine 2488 Pangborn Cir, Decatur, GA 30033-1341 2017-10-06
1730603267 Snapcare Clinic Internal Medicine 5071 Snapfinger Woods Dr, Decatur, GA 30035-4019 2017-07-26
1629520515 Daniel Feikin Internal Medicine 1726 Oakview Rd, Decatur, GA 30030-4235 2016-10-26
1699168237 Valley Internal Medicine and Pediatrics Internal Medicine 2506 Danville Rd Sw # B, Decatur, AL 35603-4232 2015-03-06
1740691120 Sandra J. Valenciano Internal Medicine 445 Winn Way Ste 527, Decatur, GA 30030-1707 2014-05-19
1376964593 Naomi Bock Internal Medicine 335 W Ponce De Leon Ave Unit 501, Decatur, GA 30030-2456 2013-12-16
1548693641 Timothy P. Weirich, M.d., P.C. Internal Medicine 3505 Pinehurst Dr Sw, Decatur, AL 35603-1259 2013-08-13
1154760577 Michael William Smith Internal Medicine 2434 Vivian Cir, Decatur, GA 30030-1592 2013-06-19
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Competitor

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City DECATUR
Zip Code 62521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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