Individual
OFELIA JACZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4770 N MANOR AVE APT 403, CHICAGO, IL 60625-7182
(312) 730-4444
Mailing address
4770 N MANOR AVE APT 403, CHICAGO, IL 60625-7182
(312) 730-4444
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209030576
IL
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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