JACQUELINE PETKOVIC RN
NPI 1053064741
Registered Nurse in Chicago, IL

Active since February 02, 2022
355 E ERIE ST, CHICAGO, IL 60611(312) 238-2300 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Petkovic Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE PETKOVIC RN (NPI 1053064741) is an individual registered nurse in Chicago, Illinois, licensed in Illinois (041.437627) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1053064741
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJACQUELINE PETKOVICCredential: RN
Location Address355 E ERIE STChicago, IL 60611-3167
Mailing Address474 N Lake Shore Dr Apt 3505Chicago, IL 60611-6478 · (847) 830-2229
Sole ProprietorNo
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 1, 2022
NPI 1053064741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in IL · 041.437627
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

355 E ERIE ST, Chicago, IL 60611

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
355 E ERIE ST
CHICAGO, IL 60611
Psychologist (Clinical)
355 E ERIE ST
CHICAGO, IL 60611
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611
Clinical Neuropsychologist
355 E ERIE ST
CHICAGO, IL 60611
Nurse Practitioner
355 E ERIE ST
CHICAGO, IL 60611
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Petkovic's NPI number?

The NPI number for Jacqueline Petkovic is 1053064741. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Jacqueline Petkovic located?

Jacqueline Petkovic practices at 355 E Erie St, Chicago, IL 60611. The listed phone number is (312) 238-2300.

What is Jacqueline Petkovic's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Petkovic was last updated on February 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.