Active NPI
Cynthia E Jaffe, LTD
- Family Nurse Practitioner
- Northbrook, IL
National Provider Identifier
1578811873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209009692
- Legal business name
- CYNTHIA E JAFFE, LTD
- Practice address
- 1251 Shermer Rd
Northbrook, IL 60062-4599 - Phone
- (312) 939-5960
- Fax
- (312) 896-9394
- NPI assigned
- Aug 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Jaffe, NP-C
- Title
- President
- Phone
- (847) 830-8748
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209009692 | IL | Primary |
Addresses
Primary practice location
1251 Shermer Rd
Northbrook, IL 60062-4599
Mailing address
1215 Daryl LN
Northbrook, IL 60062-4610
Phone (847) 830-8748
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1699854778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1578811873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 DARYL LN",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624610",
"telephone_number": "847-830-8748",
"fax_number": "312-896-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 SHERMER RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624599",
"telephone_number": "312-939-5960",
"fax_number": "312-896-9394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA E JAFFE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-17",
"last_updated": "2012-09-04",
"status": "A",
"authorized_official_last_name": "JAFFE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-830-8748",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209009692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.