MRS. MICHELLE JACKOWSKI


Address: 1200 S York Rd, #4120, Elmhurst, IL 60126
Phone: 3312219009

MRS. MICHELLE JACKOWSKI (NPI# 1194039669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194039669
Entity Type Individual
Full Name MRS. MICHELLE JACKOWSKI
Other Name MS. MICHELLE DOUGHERTY
Credential CNM
Practice Address 1200 S York Rd
#4120
Elmhurst
IL 60126
Mailing Address 172 Schiller
Elmhurst
IL 60126-2885
Practice Telephone 3312219009
Practice Fax Number 3125676156
Mailing Telephone 3312219009
Mailing Fax Number 3125676156
Enumeration Date 2010-07-27
Last Update Date 2013-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife 209008236 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBSIL 01621679 01
IL MEDICARE GROUP 950150 01
IL CAQH 12129852 01

Other Providers MICHELLE JACKOWSKI

NPI Name Taxonomy Address Enumeration
1972854669 Michelle Anne Jackowski Nurse Practitioner 1285 Orange Ave, Winter Park, FL 32789-4984 2012-09-21

Office Location

Street Address 1200 S YORK RD
#4120
City ELMHURST
State IL
Zip Code 60126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720085384 Elmhurst Outpatient Surgery Center LLC Clinic/Center 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 2005-06-28
1730606583 Leann R Rushing Physician Assistant 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 2017-08-23
1518211325 Chicago Neurological Surgery P.C. Neurological Surgery 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 2012-10-31
1649522582 Jennifer L Specht Physical Therapist 1200 S York Rd, Elmhurst, IL 60126-5626 2012-10-02
1972855815 Ilea K Pavel Physical Therapist 1200 S York Rd, Elmhurst, IL 60126-5626 2012-10-02
1619260304 Maribeth Maney Nurse Practitioner 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 2011-05-27
1508164898 Hinsdale Orthopaedic Associates Sc Specialist 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 2011-03-10
1619283264 Midwest Hand Surgery Sc Clinic/Center 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 2010-08-20
1952632101 Rama R Dandamudi Md Sc Surgery 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 2010-01-27
1457682080 Arenson Podiatric Services, PC Podiatrist 1200 S York Rd, Suite 3150, Elmhurst, IL 60126-5626 2010-01-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154931434 Andrew D Chastain Physical Therapy Assistant 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 2020-08-03
1407464472 Kevin M. Dunn Physical Therapy Assistant 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 2020-07-16
1699236414 Rosario Garcia Nurse Practitioner 1200 York St, Elmhurst, IL 60126 2019-03-26
1003390857 Lauren M Gorski Physical Therapist 275 N. York Rd, Suite 300, Elmhurst, IL 60126 2018-09-18
1073041240 Kyle Patrick Harmon Dentist 127 W Vallette St, Elmhurst, IL 60126 2017-05-31
1083065031 Mariah Lynn Kyro Behavioral Analyst 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 2016-06-30
1841661261 Randi N. Rockell Nurse Practitioner 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 2015-10-12
1508254897 Soles Therapy Services Corp Speech-Language Pathologist 627 N York Street, Unit E, Elmhurst, IL 60126 2015-01-08
1629466560 Amy J Pawlik Physical Therapist 263 N. York Rd., Suite 200, Elmhurst, IL 60126 2014-12-30
1265771349 Ladawna Goering Nurse Practitioner 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 2013-02-08
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Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386640605 Brigitte F Raahauge Advanced Practice Midwife 1200 S. York Rd., Suite 4120, Elmhurst, IL 60126 2005-06-22
1033577762 Jenna Ruth Haeberle Advanced Practice Midwife 1200 S York St, Suite 4120, Elmhurst, IL 60126-5626 2016-02-09
1679903553 Cassie Greene O'hara Advanced Practice Midwife 7901 Broadway, Elmhurst, NY 11373-1329 2013-11-14
1336395805 Marybeth Waldorf Advanced Practice Midwife 1200 S. York Rd, # 4120, Elmhurst, IL 60126 2008-08-15
1780719104 Shirley J Moore Advanced Practice Midwife 1200 S. York Rd, #4120, Elmhurst, IL 60126 2007-02-23
1750416467 Mary E Saracco Advanced Practice Midwife 1200 S. York Rd, #4120, Elmhurst, IL 60126 2007-02-22
1144307190 Margaret Therese Re Advanced Practice Midwife 80th St & 41st Ave, Elmhurst, NY 11373-1329 2006-11-01
1851487482 Ikbal Halim Ghanim Al-ali Advanced Practice Midwife 80th St & 41st Ave, Elmhurst, NY 11373-1329 2006-10-04
1649366238 Hazel Velma Laurita Burton Advanced Practice Midwife 80th St & 41st Ave, Elmhurst, NY 11373-1329 2006-10-04
1225122153 Tazmin Aziz Advanced Practice Midwife 80th St & 41st Ave, Elmhurst, NY 11373-1329 2006-10-03
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Competitor

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City ELMHURST
Zip Code 60126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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