DR. JEFFREY M MJAANES MD
NPI 1083641427
Pediatrics - Sports Medicine in Chicago, IL

Q: What is Jeffrey Mjaanes's NPI number?

The NPI number for Jeffrey Mjaanes is 1083641427. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Jeffrey Mjaanes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Mjaanes was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2006PECOS Enrolled

1611 W HARRISON ST, STE 400, CHICAGO, IL 60612(312) 243-4244(312) 942-1517 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jeffrey M Mjaanes Md NPPES

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

DR. JEFFREY M MJAANES MD (NPI 1083641427) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036107254) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083641427

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameDR. JEFFREY M MJAANESCredential: MD

Location Address1611 W HARRISON ST, STE 400Chicago, IL 60612-3841

Mailing Address1 Westbrook Corporate Ctr, #240Westchester, IL 60154-5701 · (708) 236-2673

Phone(312) 243-4244

Fax(312) 942-1517

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateSeptember 18, 2012

✔ NPI 1083641427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in IL · 036107254

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1611 W HARRISON ST, Chicago, IL 60612

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Other Identifiers 8

Other207073IL · Medicare Ptan Number Locality #15

Medicare PINK28924IL

Other207067IL · Medicare Ptan Number Locality #16

Other7081518Aetna Provider Number

Medicaid036107254 2IL

Other1633878IL · Bcbs Provider Number

Medicare UPINH80912IL

Medicare PINK28925IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey M Mjaanes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. FRANK M. PHILLIPS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1611 W HARRISON ST, STE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

GEORGE KOURIS MD SC

Plastic Surgery

1611 W HARRISON ST, 212
CHICAGO, IL 60612

Cook County (312) 432-2850

EMILY N STOUFFER NP-C

Nurse Practitioner

1611 W HARRISON ST, SUITE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

TARA KENNEDY DUFFY PA

Physician Assistant

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (877) 632-6637

EMILY REESON MD

Orthopaedic Surgery

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (815) 576-2046

ASHLEY SCHULTEJANN ATC

Specialist/Technologist (Athletic Trainer)

1611 W HARRISON ST, SUITE 300
CHICAGO, IL 60612

Cook County (312) 432-2432

PAIGE MAHER PA-C

Physician Assistant

1611 W HARRISON ST, STE 300
CHICAGO, IL 60612

Cook County (312) 432-2381

RUSH OTOLARYNGOLOGY HEAD AND NECK SURGERY

Otolaryngology

1611 W HARRISON ST, SUITE 550
CHICAGO, IL 60612

Cook County (312) 942-6100

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 Jeffrey Mjaanes's NPI number?

The NPI number for Jeffrey Mjaanes is 1083641427. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jeffrey Mjaanes located?

Jeffrey Mjaanes practices at 1611 W Harrison St Ste 400, Chicago, IL 60612. The listed phone number is (312) 243-4244.

What is Jeffrey Mjaanes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Jeffrey Mjaanes enrolled in Medicare?

Yes. Jeffrey Mjaanes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Mjaanes was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.