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DR. JACQUELINE THEODORA RUSINAK M.D.
NPI 1295046332
Emergency Medicine in Chicago, IL

Active since June 23, 2010PECOS Enrolled
836 W WELLINGTON AVE STE 1725, CHICAGO, IL 60657(773) 296-7054 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Nov 21, 2019 (2 updates tracked since 2019).

About Dr. Jacqueline Theodora Rusinak M.d. NPPES

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

DR. JACQUELINE THEODORA RUSINAK M.D. (NPI 1295046332) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036.133066) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295046332
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACQUELINE THEODORA RUSINAKCredential: M.D.
Location Address836 W WELLINGTON AVE STE 1725Chicago, IL 60657-5147
Mailing Address836 W Wellington Ave Ste 1725Chicago, IL 60657-5147 · (773) 296-7054
Phone(773) 296-7054
Sole ProprietorNo
Enumeration DateJune 23, 2010
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1295046332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036.133066
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
836 W WELLINGTON AVE STE 1725, Chicago, IL 60657
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Other Names 1

Former Name (1)Dr. Jacqueline T Lee Md

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. Jacqueline Theodora Rusinak M.d. 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services112 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
90 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rusinak's NPI number?

The NPI number for Jacqueline Rusinak is 1295046332. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Dr. Jacqueline T Lee MD.

Where is Jacqueline Rusinak located?

Jacqueline Rusinak practices at 836 W Wellington Ave Ste 1725, Chicago, IL 60657. The listed phone number is (773) 296-7054.

What is Jacqueline Rusinak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacqueline Rusinak enrolled in Medicare?

Yes. Jacqueline Rusinak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Rusinak was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.