Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacklyn M Gideon

Individual provider Adult Health Nurse Practitioner · NPI 1629515572

Jacklyn M Gideon is a Nurse Practitioner in Chicago, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2016, 10 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209015488 (IL)

Record details

NPI number1629515572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESOctober 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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