MRS. MICHELLE JACKOWSKI (NPI# 1194039669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194039669 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE JACKOWSKI |
| Other Name | MS. MICHELLE DOUGHERTY |
| Credential | CNM |
| Practice Address |
1200 S York Rd #4120 Elmhurst IL 60126 |
| Mailing Address |
172 Schiller Elmhurst IL 60126-2885 |
| Practice Telephone | 3312219009 |
| Practice Fax Number | 3125676156 |
| Mailing Telephone | 3312219009 |
| Mailing Fax Number | 3125676156 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 209008236 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBSIL | 01621679 | 01 |
| IL | MEDICARE GROUP | 950150 | 01 |
| IL | CAQH | 12129852 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972854669 | Michelle Anne Jackowski | Nurse Practitioner | 1285 Orange Ave, Winter Park, FL 32789-4984 | 2012-09-21 |
| Street Address |
1200 S YORK RD #4120 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 1730606583 | Leann R Rushing | Physician Assistant | 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 | 2017-08-23 |
| 1518211325 | Chicago Neurological Surgery P.C. | Neurological Surgery | 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 | 2012-10-31 |
| 1649522582 | Jennifer L Specht | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1972855815 | Ilea K Pavel | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1619260304 | Maribeth Maney | Nurse Practitioner | 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 | 2011-05-27 |
| 1508164898 | Hinsdale Orthopaedic Associates Sc | Specialist | 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 | 2011-03-10 |
| 1619283264 | Midwest Hand Surgery Sc | Clinic/Center | 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 | 2010-08-20 |
| 1952632101 | Rama R Dandamudi Md Sc | Surgery | 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 | 2010-01-27 |
| 1457682080 | Arenson Podiatric Services, PC | Podiatrist | 1200 S York Rd, Suite 3150, Elmhurst, IL 60126-5626 | 2010-01-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640605 | Brigitte F Raahauge | Advanced Practice Midwife | 1200 S. York Rd., Suite 4120, Elmhurst, IL 60126 | 2005-06-22 |
| 1033577762 | Jenna Ruth Haeberle | Advanced Practice Midwife | 1200 S York St, Suite 4120, Elmhurst, IL 60126-5626 | 2016-02-09 |
| 1679903553 | Cassie Greene O'hara | Advanced Practice Midwife | 7901 Broadway, Elmhurst, NY 11373-1329 | 2013-11-14 |
| 1336395805 | Marybeth Waldorf | Advanced Practice Midwife | 1200 S. York Rd, # 4120, Elmhurst, IL 60126 | 2008-08-15 |
| 1780719104 | Shirley J Moore | Advanced Practice Midwife | 1200 S. York Rd, #4120, Elmhurst, IL 60126 | 2007-02-23 |
| 1750416467 | Mary E Saracco | Advanced Practice Midwife | 1200 S. York Rd, #4120, Elmhurst, IL 60126 | 2007-02-22 |
| 1144307190 | Margaret Therese Re | Advanced Practice Midwife | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-01 |
| 1851487482 | Ikbal Halim Ghanim Al-ali | Advanced Practice Midwife | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-10-04 |
| 1649366238 | Hazel Velma Laurita Burton | Advanced Practice Midwife | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-10-04 |
| 1225122153 | Tazmin Aziz | Advanced Practice Midwife | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.