Individual
NIKKA C. JAJKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
259 E. ERIE, 13TH FLOOR, CHICAGO, IL 60611
(312) 472-6052
Mailing address
259 E. ERIE, 13TH FLOOR, CHICAGO, IL 60611
(312) 472-6052
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209008099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36090804
—
IL
01
—
377780
MEDICARE IL-TYPE
IL
01
—
L81161
MEDICARE ID-TYPE UNSPECIFIED
—
Enumeration date
12/06/2010
Last updated
10/27/2016
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