Provider Demographics
NPI:1700440138
Name:SALMAN, JAWAD M
Entity type:Individual
Prefix:
First Name:JAWAD
Middle Name:M
Last Name:SALMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 171ST ST STE I
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-6111
Mailing Address - Country:US
Mailing Address - Phone:708-813-9606
Mailing Address - Fax:
Practice Address - Street 1:9501 171ST ST STE I
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-6111
Practice Address - Country:US
Practice Address - Phone:708-813-9606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013393111N00000X
ILPENDING111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor