Individual provider · Type 1 NPI

Jacqueline Petkovic, RN

Registered Nurse · Chicago, IL

NPI number 1053064741 Active

Practice location

355 E Erie St
Chicago, IL 60611-3167

Mailing address

474 N Lake Shore Dr Apt 3505
Chicago, IL 60611-6478

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041.437627 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053064741

Jacqueline Petkovic, RN's National Provider Identifier is 1053064741, issued on Feb 2, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 2, 2022.