| Dr Marisol Elizabeth Jara, APN | |
| 2418 W Division St, Chicago, IL 60622-2940 | |
| (312) 666-3494 | |
| Not Available | 
| Full Name | Dr Marisol Elizabeth Jara | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2418 W Division St, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841038122 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.030060 (Illinois) | Primary | 
| Entity Name | Erie Family Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Marisol Elizabeth Jara, APN 2945 N Mason Ave, Chicago, IL 60634-5137 Ph: (224) 493-0575 | Dr Marisol Elizabeth Jara, APN 2418 W Division St, Chicago, IL 60622-2940 Ph: (312) 666-3494 | 
| Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
| Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
| Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
| Mindy Unrau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612 Phone: 708-630-1534 | |
| Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
| Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
| Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |