Individual provider Active NPI

Rebecca E Jacobson, MD

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1114902483
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036109162 Issued in IL
Practice address
900 N Westmoreland Rd
Ste 228
Lake Forest, IL 60045-1674
Phone
(847) 234-3860
Fax
(847) 234-3981
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036109162 IL Primary

Addresses

Primary practice location

900 N Westmoreland Rd
Ste 228
Lake Forest, IL 60045-1674

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (773) 905-3288

Other practice location 1

757 Park Ave W Ste 2800
Highland Park, IL 60035-2557
Phone (847) 432-1558

Other names 1

  • Dr. Rebecca E Cook Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rjacobson236248@direct.northshore.org
Direct Messaging Address rjacobson236248@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001032 IL Practitioner - Obstetrics/Gynecology 9638127772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Drexel University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1000 E Rollins Rd
Round Lake Beach, IL 60073-2228
Phone (224) 364-2273

2650 Ridge Ave
Evanston, IL 60201-1700

757 Park Ave W
Suite 2800
Highland Park, IL 60035-2557
Phone (847) 926-6500

777 Park Ave W
Highland Park, IL 60035-2433

915 S Waukegan Rd
Lake Forest, IL 60045-2654

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Obstetrics & Gynecology CurrentSince Dec 1, 2012 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2012 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

757 Park Ave W
Ste 2800
Highland Park, IL 60035
Phone (847) 432-1558

757 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3800

900 N Westmoreland Rd
Ste 228
Lake Forest, IL 60045
Phone (847) 234-3300

915 S Waukegan Rd
Ste 200
Lake Forest, IL 60045
Phone (224) 516-4108

1000 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 367-5400

Interoperability endpoints

  • Direct secure messaging: rjacobson236248@direct.northshore.org

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1114902483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "773-905-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "STE 228",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-234-3860",
            "fax_number": "847-234-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Park Ave W Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352557",
            "country_code": "US",
            "telephone_number": "847-432-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036109162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjacobson236248@direct.northshore.org",
            "affiliation": "N",
            "address_1": "900 N Westmoreland Rd",
            "address_2": "Ste 228",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjacobson236248@direct.northshore.org",
            "affiliation": "N",
            "address_1": "757 Park Ave W Ste 2800",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "COOK",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.