Jenna Pederson (NPI# 1063966158, PAC ID# 4880973742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063966158 |
| PAC ID by PECOS | 4880973742 |
| Professional Enrollment ID | I20161116001996 |
| Full Name | Jenna Pederson |
| Organization Legal Name | PCC COMMUNITY WELLNESS CENTER |
| Address |
3 Erie Ct Suite 1300 Oak Park IL 60302-2519 |
| Phone Number | 7084063929 |
| Gender | F |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557270139 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140049 | WEST SUBURBAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 | 7084063929 | PCC COMMUNITY WELLNESS CENTER |
| Organization Legal Name | PCC COMMUNITY WELLNESS CENTER |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Splittgerber | Physical Medicine and Rehabilitation | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Eve K Barker | Family Medicine | Pcc Community Wellness Center | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 |
| Kristen Marie Moser | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Kimberly Zoellick | Nurse Practitioner | Pcc Community Wellness Center | 3 Erie Court, Oak Park, IL 60302-2519 |
| Jenny Kim | Family Medicine | Pcc Community Wellness Center | 5425 W Lake St, Chicago, IL 60644-2342 |
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Alvie Bender | Clinical Social Worker | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Kristen Richter | Nurse Practitioner | Pcc Community Wellness Center | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 |
| Gwendolyn Haywood | Clinical Social Worker | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Yolanda Cardenas | Family Medicine | Pcc Community Wellness Center | 1111 Superior St, Suite 101, Melrose Park, IL 60160-4100 |
| Street Address |
3 ERIE CT SUITE 1300 |
| City | OAK PARK |
| State | IL |
| Zip | 60302-2519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo N Makris | Diagnostic Radiology | Makris Md LLC | 3 Erie Ct, Suite L600, Oak Park, IL 60302-2519 |
| Saumil M Shah | Interventional Radiology | Makris Md LLC | 3 Erie Ct, Suite L600, Oak Park, IL 60302-2519 |
| Katrina R Cordero | Family Medicine | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Rafay S Abbasi | Internal Medicine | Abbasi Schainker Physician Network LLC | 3 Erie Ct, L700, Oak Park, IL 60302-2519 |
| Jill Hawkes | Nurse Practitioner | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Jonathan Alan Levine | Interventional Radiology | Makris Md LLC | 3 Erie Ct, Suite L600, Oak Park, IL 60302-2519 |
| Jyothi Jolepalem | Pulmonary Disease | 3 Erie Ct, Suite 7010, Oak Park, IL 60302-2519 | |
| Amrit K Rao | Family Medicine | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Daniel Hawthorne | Family Medicine | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Sabina Wong | Family Medicine | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramsey G Tanakatsubo | Optometry | 7011 W N Ave, Oak Park, IL 60302-1001 | |
| Sharon E Pelletier | Clinical Social Worker | 6601 N Ave, Suite 3, Oak Park, IL 60302-1005 | |
| Lee L Madden | Psychologist, Clinical | 6601 W N Ave, Oak Park, IL 60302-1005 | |
| Alejandra Campos | Internal Medicine | 6715 N Ave, Oak Park, IL 60302-1006 | |
| Benjamin A Okai | Internal Medicine | 6429 W N Ave, Suite 106, Oak Park, IL 60302-1012 | |
| Nesreen Hermes | Family Medicine | 7047 N Ave, Oak Park, IL 60302-1015 | |
| Hector C Jose | Nurse Practitioner | Chicago Cardiology Institute Sc | 7035 W N Ave, Oak Park, IL 60302-1015 |
| James L Mccarthy | Ophthalmology | Mc Carthy Eye Center Sc | 7055 N Ave, Oak Park, IL 60302-1015 |
| Richard I Bernstein | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Santi Rukvidtayasas | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Find all physicians in zip 60302 | |||
| City | OAK PARK |
| Zip Code | 60302 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAK PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jenna Pederson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.