Active NPI
Jessica M Nicholson, D.O.
- Psychiatry Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.131342
- Practice address
- 17800 Kedzie Ave
Hazel Crest, IL 60429-2029 - Phone
- (708) 213-3800
- Fax
- (708) 213-0142
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.131342 | IL | Primary |
Addresses
Primary practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Mailing address
29373 Network PL
Chicago, IL 60673-2940
Phone (847) 390-5900
Other practice location 1
4400 W 95th St Ste 404
Oak Lawn, IL 60453-7216
Phone (708) 684-3980
Other names 1
- Jessica M Azoff
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jazoff310873@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jazoff310873@direct.myadvocateaurora.org | Direct | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4393
Hospital & facility affiliations
- Advocate Trinity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.131342 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Riverside Health System | Psychiatry | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
500 N Wall St
Ste 200
Kankakee, IL 60901
Phone (815) 937-1237
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
4400 W 95th St
Ste 404
Oak Lawn, IL 60453
Phone (708) 425-2345
611 S Division St
Peotone, IL 60468
Phone (708) 258-9058
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- jazoff310873@direct.myadvocateaurora.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1033435557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606732940",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 KEDZIE AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292029",
"telephone_number": "708-213-3800",
"fax_number": "708-213-0142"
}
],
"practiceLocations": [
{
"address_1": "4400 W 95th St Ste 404",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604537216",
"country_code": "US",
"telephone_number": "708-684-3980",
"fax_number": "708-684-3980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.131342",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jazoff310873@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 W 95th St Ste 404",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604537216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4400 W 95th St Ste 404",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604537216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jazoff310873@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "AZOFF",
"middle_name": "M",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.