Active NPI
Jennifer Marie Jolley, M.D.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1568691087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125056857
- Practice address
- 1653 W. Congress Parkway
Rush University Medical Center
Chicago, IL 60612 - Phone
- (312) 942-6000
- NPI assigned
- Jul 6, 2009
- Last updated
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125056857 | IL | Primary |
Addresses
Primary practice location
1653 W. Congress Parkway
Rush University Medical Center
Chicago, IL 60612
Mailing address
1653 W. Congress Parkway
Rush University Medical Center
Chicago, IL 60612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125056857 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1568691087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 W. CONGRESS PARKWAY",
"address_2": "RUSH UNIVERSITY MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W. CONGRESS PARKWAY",
"address_2": "RUSH UNIVERSITY MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125056857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.