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JASMIN STREET APN
NPI 1336631100
Nurse Practitioner - Pediatrics in Chicago, IL

Active since June 06, 2018
6501 S PROMONTORY DR, CHICAGO, IL 60649(773) 363-6700 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2022, Nov 8, 2019 (2 updates tracked since 2019).

About Jasmin Street Apn NPPES

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

JASMIN STREET APN (NPI 1336631100) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209.017512) and active in the NPI registry since June 2018. She maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1336631100
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJASMIN STREETCredential: APN
Location Address6501 S PROMONTORY DRChicago, IL 60649-1002
Mailing Address6501 S Promontory DrChicago, IL 60649-1002 · (773) 363-6700
Phone(773) 363-6700
Sole ProprietorYes
Enumeration DateJune 6, 2018
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1336631100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209.017512
6501 S PROMONTORY DR, Chicago, IL 60649
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Secondary Practice Location 1

Location 119990 Governors HwyOlympia Fields, IL 60461-1021 · Phone (708) 747-7100

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.

MOLLY SWENSON MURGATROYD DPT
Physical Therapist (Pediatrics)
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 256-5776
ZAKIYA GILLIAM M.S.
Developmental Therapist
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 753-8635
ARIANNA TIMKO PSYD
Psychologist (Clinical)
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 256-5723
CAITLIN LEVEY CACIOPPO
Dietitian, Registered
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (908) 675-6990
SYDNEY PARTINGTON DPT
Physical Therapist (Pediatrics)
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 363-6700
JESSICA LEJEUNE DPT
Physical Therapist
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (763) 363-6700
DANIELLE DREWS DPT
Physical Therapist
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 363-6700
MISS CAILEY RAE HOWARD RN
Registered Nurse
6501 S PROMONTORY DR
CHICAGO, IL 60649
Cook County (773) 363-6700

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 Jasmin Street's NPI number?

The NPI number for Jasmin Street is 1336631100. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Jasmin Street located?

Jasmin Street practices at 6501 S Promontory Dr, Chicago, IL 60649. The listed phone number is (773) 363-6700.

What is Jasmin Street's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jasmin Street was last updated on December 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.