Provider Demographics
NPI:1851253595
Name:JAROTI WELLNESS PLLC
Entity type:Organization
Organization Name:JAROTI WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:630-376-8810
Mailing Address - Street 1:18501 MAPLE CREEK DR STE 150
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6783
Mailing Address - Country:US
Mailing Address - Phone:630-376-8810
Mailing Address - Fax:815-907-1250
Practice Address - Street 1:18501 MAPLE CREEK DR STE 150
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-6783
Practice Address - Country:US
Practice Address - Phone:630-376-8810
Practice Address - Fax:815-907-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty