Jennifer M Bellucci Jackson (NPI# 1689669293, PAC ID# 5698817542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689669293 |
| PAC ID by PECOS | 5698817542 |
| Professional Enrollment ID | I20100115000334 |
| Full Name | Jennifer M Bellucci Jackson |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Address |
494 Orchard St Antioch IL 60002-1237 |
| Phone Number | 8473952627 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042206252 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 494 Orchard St, Antioch, IL 60002-1237 | 8473952627 | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| 3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425 | 8153447741 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 930 Mount Prospect Plz, Mount Prospect, IL 60056-2652 | 8477971962 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 | 2243727780 | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| 431 W Liberty St, Wauconda, IL 60084-2452 | 8475262151 | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| 4000 Route 173, Zion, IL 60099 | 8477319617 | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Jamie Lundgren | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Karen Anne Fermin Violago | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Joseph E Blahut | Physician Assistant | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Jaimie Salise | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Tzvetan Tochkov Naydenov | Family Medicine | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Rebecca A Lambo | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Richard J.a. Villaceran | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Nneka Osude | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| David J Alengo | Family Medicine | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Mallory J Iverson | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Street Address |
494 ORCHARD ST |
| City | ANTIOCH |
| State | IL |
| Zip | 60002-1237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Anne Fermin Violago | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Jaimie Salise | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Rebecca A Lambo | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| David J Alengo | Family Medicine | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Kenneth L Degner | Physician Assistant | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Inna Hoffman | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Julie A Zamora | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Pamela Basas Malda | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Diana Martil | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis M Been | Optometry | 735 Main St, Antioch, IL 60002-1321 | |
| Jeffery A Turnbull | Chiropractic | 575 W Illinois Route 173, Antioch, IL 60002-1401 | |
| Deirdre H Schwallie | Psychologist, Clinical | Dr Savage Psychological Services PC | 532 Lake St, Frnt 1, Antioch, IL 60002-1424 |
| Lisa M Berg | Clinical Social Worker | 532 Lake St, Antioch, IL 60002-1424 | |
| James G Cross | Chiropractic | 311 W Depot St L, Antioch, IL 60002-1500 | |
| Joan M Johnson | Chiropractic | 960 Victoria St, Antioch, IL 60002-1519 | |
| Katie E Schlichting | Clinical Social Worker | 974 Main St, Antioch, IL 60002-1537 | |
| Susan A White | Clinical Social Worker | 800 Main St, Antioch, IL 60002-1542 | |
| Aneka Spencer | Clinical Social Worker | 800 Main St, Suite 210, Antioch, IL 60002-1578 | |
| Courtney B Bowles | Clinical Social Worker | Refresh In-home Counseling LLC | 800 Main St, Suite 210, Antioch, IL 60002-1578 |
| Find all physicians in zip 60002 | |||
| City | ANTIOCH |
| Zip Code | 60002 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANTIOCH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer M Bellucci Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.