Active NPIIndividual provider

Jessica L Ackerman, PA-C

Physician Assistant in Chicago, Illinois

NPI Number1518383322
Practice location
1765 N Elston Ave Ste 110, Chicago, IL 60642-1501
Fax
773-276-1102
Last updated
August 24, 2022

Jessica L Ackerman, PA-C is a Physician Assistant based in Chicago, IL. Jessica L Ackerman, PA-C holds the professional credentials of PA-C. The NPI number for Jessica L Ackerman, PA-C is 1518383322 and holds license No. 0110-004494 (VA). The current practice location address is 1765 N Elston Ave Ste 110, Chicago, IL 60642-1501 and the office can be reached by phone at 773-276-1100 and by fax at 773-276-1102. The NPI was assigned on March 17, 2014 and the record was last updated in NPPES on August 24, 2022.

●Provider Profile Details

NPI Number
1518383322
Provider Name
Jessica Lee Ackerman
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
March 17, 2014
Last Update Date
August 24, 2022
Certification Date
August 24, 2022
NPI Status
Active

◉Business Practice Location Address

Address
1765 N Elston Ave Ste 110
Chicago, IL 60642-1501
ZIP
60642-1501
Country
US
Phone Number
773-276-1100
Fax Number
773-276-1102

Get directions →

✉Business Mailing Address

Address
1765 N Elston Ave Ste 110
Chicago, IL 60642-1501
City
Chicago
State
IL
ZIP
60642-1501
Phone Number
773-276-1100
Fax Number
773-276-1102

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYes0110-004494VA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jessica L Ackerman, PA-C?

The NPI number of Jessica L Ackerman, PA-C is 1518383322. It was assigned on March 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Jessica L Ackerman, PA-C?

Jessica L Ackerman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. 0110-004494 (VA).

Where does Jessica L Ackerman, PA-C practice?

The practice location is 1765 N Elston Ave Ste 110, Chicago, IL 60642-1501. The office can be reached at 773-276-1100 (phone) or 773-276-1102 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518383322 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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