Dr Jacqueline Eileen Estrada, EDD is a
Psychologist - School based in Chicago, Illinois. Dr Jacqueline Eileen Estrada is licensed to practice in Illinois (license number 2417811) and her current practice location is
6058 S Tripp Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 993-4238.
NPI number for Dr Jacqueline Eileen Estrada is 1033972120 and her current mailing address is 6058 S Tripp Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033972120.
Healthcare Provider's Profile
Full Name | Dr Jacqueline Eileen Estrada |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 6058 S Tripp Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033972120
- Provider Enumeration Date: 02/01/2024
- Last Update Date: 02/01/2024
Medical Identifiers
Medical identifiers for Dr Jacqueline Eileen Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033972120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 178.017419 (Illinois) | Secondary |
103TS0200X | Psychologist - School | 2417811 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Eileen Estrada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacqueline Eileen Estrada, EDD 6058 S Tripp Ave, Chicago, IL 60629-4925 Ph: (773) 993-4238 | Dr Jacqueline Eileen Estrada, EDD 6058 S Tripp Ave, Chicago, IL 60629-4925 Ph: (773) 993-4238 |
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