Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ofelia Jaczko

Individual provider Primary Care Nurse Practitioner · NPI 1841177953

Ofelia Jaczko is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Pcc Community Wellness Center, a 89-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

4770 N Manor Ave Apt 403
Chicago, IL 60625-7182
Phone: (312) 730-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209030576 (IL)

Record details

NPI number1841177953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pcc Community Wellness Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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