Jacoby Chiropractic & Sports Performance

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3801113 Issued in IL

Legal business name

JACOBY CHIROPRACTIC & SPORTS PERFORMANCE

Practice address

401 W Ontario St
Suite 150
Chicago, IL 60654-6957

Phone

(847) 338-7590

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Jacoby, D.C.NPI 1649441130

Title

Owner

Phone

(847) 338-7590

Specialties & licenses 1

Addresses

Tax ID family

Dr Brian Jacoby LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Brian Jacoby LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1699041459
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Joseph Jacoby, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1649441130
  NPD (past) Authorized official

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1063754943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N PAULINA ST",
            "address_2": "#301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221133",
            "telephone_number": "847-338-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ONTARIO ST",
            "address_2": "SUITE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546957",
            "telephone_number": "847-338-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBY CHIROPRACTIC & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-338-7590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "3801113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Albert Jacobson, M.D.
• Rebecca Wolf Jacobson, MSW, LCSW
• Ronald Jacobson, D.D.S., M.S.
• Tyler Andrew Jacobson
• Wynne Jacobson, LCPC
• Brian Joseph Jacoby, D.C.
• Candida Jacoby, LCSW
• Anabel S Jacome
• Freddy Jacome
• Oscar Jacome, DPT

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.