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

Jaclyn Mary Petrov, APN

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1295399178

Jaclyn Mary Petrov, APN is an Obstetrics & Gynecology Nurse Practitioner in Mokena, Illinois. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

10260 191st St Ste 100
Mokena, IL 60448-8802
Phone: (708) 572-7669
Fax: (708) 422-4253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9730 S Western Ave, Evergreen Park, IL 60805-2814 — (708) 425-1907

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 209.019158 (IN)

Record details

NPI number1295399178
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedApril 26, 2019
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022