MEDICARE: DR. JESSICA MARIA ATRIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A115928	CA
2	207V00000X	Obstetrics & Gynecology Physician	60250783	NY
3	207V00000X	Obstetrics & Gynecology Physician	E-19858	AR
4	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1184882714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA MARIA ATRIO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-338-8000
Fax Number	:	479-338-2274

Provider Business Practice Location Address
First Line	:	2710 S RIFE MEDICAL LN
Second Line	:	MERCY HOSPITAL ROGERS OB/GYN HOSPITALIST
City	:	ROGERS
State	:	AR
Zip	:	72758-1452
Country	:	US
Telephone Number	:	479-338-8000
Fax Number	:	479-338-2274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	12/10/2025

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