Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY A PICKETT, MD
Active Sole ProprietorDR. JAY A PICKETT, MD is a Family Medicine healthcare provider located in WATERLOO, Illinois. NPI 1467425215 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WATERLOO, IL
Registration Details
- NPI Number
- 1467425215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.497180765721 yrs)
- Last Updated
- Feb 17, 2015
- License
-
036 081291 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
509 HAMACHER STSUITE 102WATERLOO, IL, 622981592Browse IL providers · Browse ZIP 62298
- Phone
- 6189393939
- Fax
- 6189393941
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WATERLOO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ARON BRUK | M.D. | 1962480798 |
| LEWIS FISCHER | M.D. | 1386677128 |
| DR. LINDA K. FISCHER | M.D. | 1558380543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.