Individual provider Active NPI

Caleigh Noelle Jaskierski, APRN

  • Nurse Practitioner
  • Chicago Ridge, IL
National Provider Identifier
1659106268
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209030418 Issued in IL
Practice address
10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717
Phone
(708) 424-9710
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209030418 IL Primary

Addresses

Primary practice location

10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717

Mailing address

10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717

Other practice location 1

82 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 342-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008000596 IL Practitioner - Nurse Practitioner 1850822362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 109
Chicago Ridge, IL 60415-2717
Phone (708) 424-9710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209030418ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Urgent Care LLC CurrentSince Sep 1, 2024 Accepting new patients
Affiliated Oncologists, LLC CurrentSince Sep 1, 2024 Accepting new patients
Mobile Anesthesiologists Chicago LLC PastSince Sep 1, 2024 Accepting new patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients

Locations

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

6700 W 95th St
Ste 330
Oak Lawn, IL 60453
Phone (708) 422-3242

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1659106268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 200",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 200",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-424-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Orland Square Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623207",
            "country_code": "US",
            "telephone_number": "708-342-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASKIERSKI",
        "first_name": "CALEIGH",
        "middle_name": "NOELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209030418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.