Healthcare Provider Details

I. General information

NPI: 1912896937
Provider Name (Legal Business Name): JASMIN BARAJAS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 W FRONTAGE RD STE 102
NORTHFIELD IL
60093-3036
US

IV. Provider business mailing address

436 W FRONTAGE RD STE 102
NORTHFIELD IL
60093-3036
US

V. Phone/Fax

Practice location:
  • Phone: 847-449-8634
  • Fax: 847-440-5357
Mailing address:
  • Phone: 847-449-8634
  • Fax: 847-440-5357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209031586
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: