OrganizationActive
Jessie L Mabaquiao MD
NPI 1437407517 · Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1437407517
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Ratcliffe, Administrator(773) 239-9600
- License
- 036082232 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
855 W 103rd St
Suite 100
Chicago, IL 60643-2357
Phone: (773) 239-9600
Fax: (773) 239-9601
Street-level locationGet directions
Mailing address
855 W 103rd St
Chicago, IL 60643-2357
Registry dates
- Enumerated
- 2012-08-21
- Last updated
- 2012-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.