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General NPI Number Information
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NPI Number | 1861044588
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Entity Type | Individual
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Provider Name | JOCELYN S ARACKAL FNP,
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Gender | Female
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 885 ROOSEVELT RD STE 100
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City | GLEN ELLYN
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State | IL
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Zip | 60137-6141
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Country | US
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Telephone | 630-938-6000
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Fax | 630-384-6229
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Provider Business Mailing Address
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Address Line | 885 ROOSEVELT RD STE 100
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City | GLEN ELLYN
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State | IL
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Zip | 60137-6141
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Country | US
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Telephone | 630-938-6000
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Fax | 630-384-6229
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.390946
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.019502
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277001769
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277.001769
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209019502
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License Number State | IL
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