Individual provider Active NPI

Hanna Jozefa Jasinska, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1902010630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
5632 W Lawrence Ave
Suite #1
Chicago, IL 60630-3220
Phone
(773) 286-5585
Fax
(773) 286-9602
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

5632 W Lawrence Ave
Suite #1
Chicago, IL 60630-3220

Mailing address

5632 W Lawrence Ave
Suite #1
Chicago, IL 60630-3220
Phone (773) 286-5585

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-074886ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanna Jasinska MDSC Family Medicine PastSince Apr 1, 2004 Accepting new patients

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902010630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 W LAWRENCE AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303220",
            "telephone_number": "773-286-5585",
            "fax_number": "773-286-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 W LAWRENCE AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303220",
            "telephone_number": "773-286-5585",
            "fax_number": "773-286-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASINSKA",
        "first_name": "HANNA",
        "middle_name": "JOZEFA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "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 8, 2007; 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.