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

Jay Declarador

Individual provider Nurse Practitioner · NPI 1417460502

Jay Declarador is a Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

332 S Michigan Ave
Chicago, IL 60604-4434
Phone: (888) 660-4425
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209016591 (IL)

Record details

NPI number1417460502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2017
Last updated in NPPESNovember 10, 2017
Mailing address5450 Astor Ln Apt 418, Rolling Meadows, IL 60008-4116

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