Mariola Jackowski, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.118003 Issued in IL

Practice address

657 E. Golf Rd
Suite 309
Arlington Heights, IL 60005-4968

Phone

(224) 404-6000

Fax

(773) 774-0019

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Pediatric Care

  • Pediatrics Physician
  • Arlington Heights, IL
  • NPI 1568630234
  NPD Authorized official
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064
  Medicare reassignment
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1154713980
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1295937662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E. GOLF RD",
            "address_2": "SUITE 309",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "224-404-6000",
            "fax_number": "773-774-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E. GOLF RD",
            "address_2": "SUITE 309",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "224-404-6000",
            "fax_number": "773-774-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOWSKI",
        "first_name": "MARIOLA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.118003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obioma Iwuagwu
• J & Company Chiropractic LLC
• Ahmad Subhi Jabbar, M.D.
• Umair Jabbar, M.D.
• Heather Jackman, M.A.
• Jasmine Jackson
• Robert B Jackson
• Jacob L. Moskovic, M.D. S.C.
• Jisha M Jacob
• Halley Elyse Wilson Jacobs, LCPC

• Pediatrics Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.