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

Tarek Jazaerly, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1568780625

Tarek Jazaerly, MD is a Pathology in Rockford, Illinois. Qualified in 2004, 22 years ago. Practices with Rockford Associated Pathologists Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
22
Licensed in
IL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (779) 696-4273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036.145525 (IL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301091867 (MI)

Record details

NPI number1568780625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 12, 2010
Last updated in NPPESAugust 1, 2019

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Also practisesHEMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Rockford Associated Pathologists Ltd — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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