Provider Demographics
NPI:1043722408
Name:JAROZEWSKI, CAROLYN MARY I (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MARY
Last Name:JAROZEWSKI
Suffix:I
Gender:F
Credentials:RN
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Mailing Address - Street 1:5250 OLD ORCHARD RD STE 3005250N
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-4460
Mailing Address - Country:US
Mailing Address - Phone:312-519-4684
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:5250 N.OLD ORCHARD ROAD SUITE 300
Practice Address - Street 2:5250 N.OLD ORCHARD ROAD SUITE 300
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:312-519-4684
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI103814-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse