Individual provider Active NPI

Janneth Jaramillo, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1932287315
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036100957 Issued in IL
Practice address
2610 W Division St
Chicago, IL 60622-2850
Phone
(773) 227-3232
Fax
(773) 227-2898
NPI assigned
Nov 1, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 036100957 IL Primary

Addresses

Primary practice location

2610 W Division St
Chicago, IL 60622-2850

Mailing address

2610 W Division St
Chicago, IL 60622-2850
Phone (773) 227-3232

Other identifiers 2

IdentifierTypeStateIssuer
036100957MedicaidIL
01626610OtherILBLUE CROSS SHIELD

Other names 1

  • Dr. Janneth Jaramillo Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000502 IL Practitioner - Family Practice 8426134040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1116 N Kedzie
Chicago, IL 60651-4152
Phone (773) 772-7170

2610 W Division St
Chicago, IL 60622-2850
Phone (773) 227-3232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036100957ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association House of Chicago CurrentSince Aug 27, 2017 Accepting new patients
Janneth Jaramillo M.D.S.C. Family Medicine CurrentSince Aug 1, 2000 Accepting new patients

Locations

1116 N Kedzie Ave
Chicago, IL 60651
Phone (773) 772-7170

2610 W Division St
Chicago, IL 60622
Phone (773) 227-3232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23849/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janneth.jaramillo.1@23849.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1932287315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222850",
            "telephone_number": "773-227-3232",
            "fax_number": "773-227-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222850",
            "telephone_number": "773-227-3232",
            "fax_number": "773-227-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JANNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100957",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD",
            "identifier": "01626610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNETH",
            "last_name": "JARAMILLO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.