Digestive Disease Associates of the North Shore S C

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

042617789 Issued in IL

Legal business name

DIGESTIVE DISEASE ASSOCIATES OF THE NORTH SHORE S C

Practice address

2551 Compass Rd
Suite 120
Glenview, IL 60026-8045

Phone

(847) 486-9610

Fax

(847) 486-9617

NPI assigned

Mar 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Mark Jacobs, M.D.

Title

President

Phone

(847) 486-9610

Specialties & licenses 1

Addresses

Electronic endpoints 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1063546166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 COMPASS RD",
            "address_2": "SUITE 120",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268045",
            "telephone_number": "847-486-9610",
            "fax_number": "847-486-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COMPASS RD",
            "address_2": "SUITE 120",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268045",
            "telephone_number": "847-486-9610",
            "fax_number": "847-486-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES OF THE NORTH SHORE S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-486-9610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "042617789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjacobs250979@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2551 Compass Rd",
            "address_2": "Suite 120",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://protect-us.mimecast.com/s/MiNFCKr2GmuqQoN2UMZFUO?domain=epicfhir.aurora.org/",
            "affiliation": "N",
            "address_1": "2551 Compass Rd",
            "address_2": "Suite 120",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea L Didenko, PTA
• Jennifer Didier
• Daniel J Dietrich, LPC
• Marie Dietrich
• Danielle Grace Dietz, CCC-SLP
• Anushree Dighe, PT, DPT
• Imelda Dignadice, P.T.
• Diane Dimaggio, M.D.
• Leslie B Dion, M.D.
• Ibrahima Diop, MD

• Gastroenterology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.