Jaclyn Eisenberg
DO | Pediatrics | Female
Jaclyn Eisenberg, DO is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jaclyn Eisenberg is
5721 S Maryland Ave, Chicago, Illinois - 60637-1425. She can be contacted on phone at
773-702-1000.
Jaclyn Eisenberg is a sole proprietor of her business.
NPI number (Unique professional ID) for Jaclyn Eisenberg is
1285913582 which was assigned by NPPES on 04 Aug, 2011 and it was last updated on 04 Aug, 2011.
Jaclyn Eisenberg license number is
125059894 for Pediatrics (208000000X) in Illinois.
Jaclyn Eisenberg is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jaclyn Eisenberg basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jaclyn Eisenberg |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Jaclyn Eisenberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5721 S Maryland Ave
Chicago, IL, 60637-1425
United States |
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| Phone Number : | 773-702-1000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285913582 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Aug, 2011 |
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| Last Updated On : | 04 Aug, 2011 |
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Medicare Participation:
Jaclyn Eisenberg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3072734284 |
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| Medicare Enrollment ID : | I20141030002651 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Jaclyn Eisenberg accepts medicare insurance. |
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Group Practice Association:
Jaclyn Eisenberg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jaclyn Eisenberg is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Of Chicago | 7719899426 | 1045 | 5841 S Maryland Ave
Chicago, IL - 606371447
Ph: 7737021000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Eisenberg are as mentioned. Primary taxonomy code for Jaclyn Eisenberg, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 125059894 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5721 S Maryland Ave
Chicago, IL, 60637-1425
United States |
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Business Location:
Patients can refer following map for directions to
Jaclyn Eisenberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.