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

Jenna Pederson

Individual provider Family Nurse Practitioner · NPI 1063966158

Jenna Pederson is a Nurse Practitioner in Oak Park, Illinois. Graduated from Rush Medical College of Rush University in 2011, 15 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
15
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

3 Erie Ct Ste 1300
Oak Park, IL 60302-2519
Phone: (708) 406-3929
Fax: (708) 406-3935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Lake St, Oak Park, IL 60302-2606 — (708) 383-9911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.014598 (IL)

Record details

NPI number1063966158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2016
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address641 W Grand Ave Apt 4, Chicago, IL 60654-5534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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