Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeffrey Dan Intud

Individual provider Family Nurse Practitioner · NPI 1205464187

Mr. Jeffrey Dan Intud is a Nurse Practitioner in Homewood, Illinois. Qualified in 2019, 7 years ago. Practices with Chicagoland Infectious Disease PC, a 38-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

17901 Governors Hwy Ste 206
Homewood, IL 60430-1146
Phone: (708) 960-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.020983 (IL)

Record details

NPI number1205464187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address17901 Governors Hwy Ste 206, Homewood, IL 60430-1146

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Chicagoland Infectious Disease Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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