Jefferson Diabetes Consultants, L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JEFFERSON DIABETES CONSULTANTS, L.L.C.

Practice address

9449 S Kedzie Ave # 560
Evergreen Park, IL 60805-2325

Phone

(312) 488-9392

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Alecia Jefferson, APRN, CDCES

Title

Owner/ Provider

Phone

(312) 488-9392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1255844486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 S KEDZIE AVE # 560",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052325",
            "telephone_number": "312-488-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 S KEDZIE AVE # 560",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052325",
            "telephone_number": "312-488-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON DIABETES CONSULTANTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-02-28",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "312-488-9392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, CDCES"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louay Jajeh, DO
• Amy A Janda, PA
• Rachel L Janke, CCC-SLP
• Jannet Laplanche D.D.S. P.C.
• Jamal Jebreal
• Alecia Jefferson, APRN, CDCES
• Meghan M Jennings, OTR/L
• John P Hanlon, MD, LLC
• Kristina Ann Johnson, D.O.
• Timothy Brian Johnson, D.O.

• Health Service Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.