Individual provider Active NPI

Jessica Maria Jajesniak, APRN

  • Women's Health Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1780496646
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209031491 Issued in IL
Practice address
5851 W 95TH St Ste 400
Oak Lawn, IL 60453-2415
Phone
(708) 857-7230
Fax
(708) 425-5779
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209031491 IL Primary

Addresses

Primary practice location

5851 W 95TH St Ste 400
Oak Lawn, IL 60453-2415

Mailing address

10231 Hawthorne Dr
Orland Park, IL 60462-3025
Phone (708) 267-3642

Other practice location 1

10762 W 167th St
Orland Park, IL 60467-5434
Phone (708) 873-0400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209031491ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foti Chronopoulos MD SC CurrentSince Feb 2, 2025 Accepting new patients

Locations

5851 W 95th St
Ste 400
Oak Lawn, IL 60453
Phone (708) 857-7230

10762 W 167th St
Orland Park, IL 60467
Phone (708) 499-9800

Organizations & group practices 1

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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1780496646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 HAWTHORNE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623025",
            "telephone_number": "708-267-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 400",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-857-7230",
            "fax_number": "708-425-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10762 W 167th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675434",
            "country_code": "US",
            "telephone_number": "708-873-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAJESNIAK",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209031491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.