NPIMap

Organization Active NPI

Anchored in Health SC

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1073173407
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANCHORED IN HEALTH SC
Practice address
11524 183Rd PL Ste 200
Orland Park, IL 60467-9501
Phone
(708) 462-5113
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Cynthia Lynn Jakubiec, DCNPI 1548301294
Title
Owner
Phone
(708) 462-5113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11524 183Rd PL Ste 200
Orland Park, IL 60467-9501

Mailing address

11524 183Rd PL Ste 200
Orland Park, IL 60467-9501
Phone (708) 462-5113

Other practice location 1

14581 Albany Ave
Lemont, IL 60439-4599
Phone (847) 409-5557

Other practice location 2

13703 Cicero Ave
Crestwood, IL 60418-1824
Phone (708) 385-4416

Other practice location 3

11524 183rd Pl Ste 200
Orland Park, IL 60467
Phone (630) 243-7437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116002618 IL Part B Supplier - Clinic/Group Practice 8123453362 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

13703 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-4416

11524 183rd Pl
Ste 200
Orland Park, IL 60467
Phone (630) 243-7437

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1073173407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 183RD PL STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679501",
            "telephone_number": "708-462-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 183RD PL STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679501",
            "telephone_number": "708-462-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14581 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604394599",
            "country_code": "US",
            "telephone_number": "847-409-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13703 Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "IL",
            "postal_code": "604181824",
            "country_code": "US",
            "telephone_number": "708-385-4416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11524 183rd Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "60467",
            "country_code": "US",
            "telephone_number": "630-243-7437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCHORED IN HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "JAKUBIEC",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-462-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.