Christine Louise Jakubec, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000290 Issued in IL

Practice address

1170 E Belvidere Rd
Suite 204
Grayslake, IL 60030-2061

Phone

(847) 231-5500

Fax

(847) 231-5966

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1114170115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22621 N LINDEN DR",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102337",
            "telephone_number": "847-382-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 204",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302061",
            "telephone_number": "847-231-5500",
            "fax_number": "847-231-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBEC",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.