DR. JACKQUELIN MAE LOERA MD
NPI 1790420065
Anesthesiology in Chicago, IL

Q: What is Jackquelin Loera's NPI number?

The NPI number for Jackquelin Loera is 1790420065. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Q: What is Jackquelin Loera's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackquelin Loera was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 02, 2022PECOS Enrolled

836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 296-5187(773) 296-8074 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 7, 2025, May 2, 2022 (3 updates tracked since 2022).

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About Dr. Jackquelin Mae Loera Md NPPES

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

DR. JACKQUELIN MAE LOERA MD (NPI 1790420065) is an individual anesthesiology provider in Chicago, Illinois, licensed in Illinois (036.173151) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790420065

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. JACKQUELIN MAE LOERACredential: MD

Location Address836 W WELLINGTON AVEChicago, IL 60657-5147

Mailing Address836 W Wellington AveChicago, IL 60657-5147 · (773) 296-5187

Phone(773) 296-5187

Fax(773) 296-8074

Sole ProprietorNo

Enumeration DateMay 2, 2022

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1790420065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IL · 036.173151

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

836 W WELLINGTON AVE, Chicago, IL 60657

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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. Jackquelin Mae Loera 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. ROBERT R TURELLI JR. MD

Emergency Medicine

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5878

JAYME L. CAPPA

Speech-Language Pathologist

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-7988

DR. CHIMUANYA OKOLI MD

Internal Medicine (Sleep Medicine)

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5424

DEBRA FARIDA

Nurse Anesthetist, Certified Registered

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 975-1600

MALIK SAHOURI DO

Anesthesiology

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5187

SERGIO GUTIERREZ NUNEZ MD

Anesthesiology

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5187

MS. NOREEN MARIE SHERIDAN RD. LDN,CDE

Dietitian, Registered

836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657

Cook County (773) 296-5912

ANN M HARVEY APN, CNP

Nurse Practitioner

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-3646

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 Jackquelin Loera's NPI number?

The NPI number for Jackquelin Loera is 1790420065. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jackquelin Loera located?

Jackquelin Loera practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 296-5187.

What is Jackquelin Loera's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jackquelin Loera enrolled in Medicare?

Yes. Jackquelin Loera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackquelin Loera was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.