Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER M BELLUCCI JACKSON, MD
Active Sole ProprietorJENNIFER M BELLUCCI JACKSON, MD is a Family Medicine healthcare provider located in WAUCONDA, Illinois. NPI 1689669293 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WAUCONDA, IL
Registration Details
- NPI Number
- 1689669293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2005 (20.884462899942 yrs)
- Last Updated
- May 23, 2023
- License
-
036083207 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Fax
- 8475262017
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| WARREN G KRUCKMEYER | MD | 1023002383 |
| DAVID J ALENGO | MD | 1356335996 |
| KATHLEEN MARIE MARIANI | P.A. | 1922170265 |
| ANTHONY CIPOLLA | — | 1740622703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.