Dr Philip Nathaniel Jurasinski, DO is a medicare enrolled "Internal Medicine - Infectious Disease" in Chicago, Illinois. His current practice location is
5841 S Maryland Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 751-2340.
Dr Philip Nathaniel Jurasinski is licensed to practice in Illinois (license number 036.174274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205183688.
Provider's Profile
Full Name | Dr Philip Nathaniel Jurasinski |
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Gender | Male |
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Speciality | Internal Medicine - Infectious Disease |
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Location | 5841 S Maryland Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205183688
- Provider Enumeration Date: 08/05/2012
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759783459
- Enrollment ID: I20210716000772
Medical Identifiers
Medical identifiers for Dr Philip Nathaniel Jurasinski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205183688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 179993-30 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | 2021021932 (Missouri) | Secondary |
163W00000X | Registered Nurse | 2021033345 (Missouri) | Secondary |
207R00000X | Internal Medicine | 036.174274 (Illinois) | Secondary |
208000000X | Pediatrics | 036.174274 (Illinois) | Secondary |
208000000X | Pediatrics | 2021021932 (Missouri) | Secondary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 036.174274 (Illinois) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 2021040593 (Missouri) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 036.174274 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Nathaniel Jurasinski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Philip Nathaniel Jurasinski, DO 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150 | Dr Philip Nathaniel Jurasinski, DO 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (708) 751-2340 |
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