| Jacqueline S Ma, CNM | |
|
966 W 21st St, Chicago, IL 60608-4511 | |
| (773) 254-1400 | |
| (312) 829-6375 |
| Full Name | Jacqueline S Ma |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 966 W 21st 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 |
|---|---|---|---|
| 1013422260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209017787 (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 |
| Entity Name | Alivio Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083860845 PECOS PAC ID: 5698840924 Enrollment ID: O20081114000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline S Ma, CNM 966 W 21st St, Chicago, IL 60608-4511 Ph: (773) 254-1400 | Jacqueline S Ma, CNM 966 W 21st St, Chicago, IL 60608-4511 Ph: (773) 254-1400 |
Kaelyn Carroll, RN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 | |
Tracy A Abraham, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 17 N State St Ste 500, Chicago, IL 60602 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Ms. Alyssa Suzanne Mull, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622 Phone: 312-666-3494 |