NPI
Jhared Black
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- D.M.D.
- Type
- Individual
- Enumeration date
- 2016-08-08
- Last updated
- 2025-07-02
Specialties
Licenses
- License IN
- 12013820A
- License IL
- 019030918
Location
- Practice location
- 135 Henson Ct
- City
- Matteson IL
- Postal code
- 60443-3012
- Phone
- (708) 743-9685
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Matteson, IL. 585 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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