JUSTIN W JELINSKI (NPI# 1710237748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710237748 |
| Entity Type | Individual |
| Full Name | JUSTIN W JELINSKI |
| Credential | PA-C |
| Practice Address |
712 S Milwaukee Ave Libertyville IL 60048-3279 |
| Mailing Address |
2030 E Main St Galesburg IL 61401-5460 |
| Practice Telephone | 8473621848 |
| Practice Fax Number | 8473623351 |
| Mailing Telephone | 3093433570 |
| Mailing Fax Number | 3093433571 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.004721 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 10001450A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
712 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703571 | Jonathan S Citow | Neurological Surgery | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2005-10-10 |
| 1669932992 | Andrea Carolina Bermudez | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2019-03-22 |
| 1174099022 | Alexa Niermeyer | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2018-10-18 |
| 1770966848 | Andrew Joyce | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2015-07-07 |
| 1376971440 | Alexandra Vigilante | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2013-10-28 |
| 1629363064 | Lakeshore Physical Therapy, LLC | Clinic/Center | 712 S Milwaukee Ave, Lower Level, Libertyville, IL 60048-3279 | 2011-06-14 |
| 1811224785 | Lake County Imaging, LLC | Radiology | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2009-11-12 |
| 1922272830 | Juan C Alzate | Neurological Surgery | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2008-04-22 |
| 1912170523 | Libertyville Neurosurgery, LLC | Neurological Surgery | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2008-04-04 |
| 1578774220 | James Albert Baker | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070884 | Elzbieta Madej | Physician Assistant | 900 Technology Way Ste 120, Libertyville, IL 60048-5364 | 2019-08-27 |
| 1669626149 | Seanra J Kalil | Physician Assistant | 150 E. Cook Ave., Suite 100, Libertyville, IL 60048-2060 | 2008-11-10 |
| 1811198690 | Wendy A Frederick | Physician Assistant | 904 S Milwaukee Ave Ste B, Libertyville, IL 60048-3215 | 2007-05-30 |
| 1609482769 | John Mcdonald | Physician Assistant | 825 S Milwaukee Ave, Libertyville, IL 60048-3218 | 2020-09-23 |
| 1982212221 | Ryan Patrik Kunz | Physician Assistant | 150 E. Cook Ave., Suite 100, Libertyville, IL 60048-2060 | 2020-07-22 |
| 1366073645 | Nicole Marie Locascio | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-01-27 |
| 1861036519 | Catherine Dinklenburg | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-11-05 |
| 1760043178 | Alyssa Ribaudo | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-06-26 |
| 1669932992 | Andrea Carolina Bermudez | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2019-03-22 |
| 1174099022 | Alexa Niermeyer | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2018-10-18 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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| 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.