IndividualActive
Jennifer Mickelson, M.D.
NPI 1558518761 · Pediatric Urology Physician · Chicago, IL
Provider details
- NPI number
- 1558518761
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.117785 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2300 N Childrens Plz # 24
Division of Urology - Childrens Memorial Hospital
Chicago, IL 60614-3363
Phone: (773) 880-4000
Approximate (ZIP-level) locationGet directions
Mailing address
1730 N Clark St Apt 3610
Chicago, IL 60614-5395
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.