Individual provider Active NPI

Joanna Katherine Jaros, MD

  • Dermatology Physician
  • Niles, IL
National Provider Identifier
1447712492
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.163130 Issued in IL
Practice address
7411 N Milwaukee Ave
Niles, IL 60714-3707
Phone
(773) 763-6000
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 036.163130 IL Primary

Addresses

Primary practice location

7411 N Milwaukee Ave
Niles, IL 60714-3707

Mailing address

7411 N Milwaukee Ave
Niles, IL 60714-3707

Other practice location 1

4445 W Irving Park Rd Ste 300
Chicago, IL 60641-2808
Phone (312) 695-8106

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717002619 IL Practitioner - Dermatology 4789094343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
North Branch Dermatology LLCGroup PAC ID 8921220914, 5 clinicians

Practice addresses (Care Compare)

4445 W Irving Park Rd
Suite 300
Chicago, IL 60641-2808
Phone (844) 344-6663

7411 N Milwaukee Ave
Niles, IL 60714-3707
Phone (773) 763-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions415
Removal of nail tissue1-10
Removal or shaving of skin growth132
Skin biopsy28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.163130ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
North Branch Dermatology LLC Multi-Specialty CurrentSince Jun 5, 2023 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Central Dupage Physician Group Multi-Specialty Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

4445 W Irving Park Rd
Ste 300
Chicago, IL 60641
Phone (312) 695-8106

4445 W Irving Park Rd
Ste 330
Chicago, IL 60641

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

7411 N Milwaukee Ave
Niles, IL 60714
Phone (773) 763-1818

Interoperability endpoints

  • Direct secure messaging: jjaros@fahrenbach.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1447712492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-763-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 W Irving Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606412808",
            "country_code": "US",
            "telephone_number": "312-695-8106",
            "fax_number": "312-921-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAROS",
        "first_name": "JOANNA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.163130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.