Jetset Wellcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JETSET WELLCARE LLC

Practice address

11301 S Saint Lawrence Ave
Chicago, IL 60628-5111

Phone

(630) 686-2029

NPI assigned

Jan 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rhoda Green

Title

Owner

Phone

(630) 686-2029

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1013875962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 S SAINT LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285111",
            "telephone_number": "630-686-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 S SAINT LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285111",
            "telephone_number": "630-686-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETSET WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-686-2029"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie L Mabaquiao MD
• Patricia D. Jessie, L.C.P.C.
• Maureen Jesuthasan, LPC
• Pim Jetanalin, M.D.
• Shannon Jeter
• Ishani Jetty, DPM
• Myrline Jeudy, NP
• Jewell Healthcare Services
• April Jewell
• Michael J Jewell, DPT

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.