Individual provider Active NPI

Jacob Michael McNamara

  • Chiropractor
  • Lake Bluff, IL
National Provider Identifier
1144814336
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013683 Issued in IL
Practice address
900 N Shore Dr Ste 170
Lake Bluff, IL 60044-2253
Phone
(847) 234-2346
NPI assigned
Feb 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013683 IL Primary

Addresses

Primary practice location

900 N Shore Dr Ste 170
Lake Bluff, IL 60044-2253

Mailing address

900 N Shore Dr Ste 170
Lake Bluff, IL 60044-2253
Phone (847) 234-2346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310000857 IL Practitioner - Chiropractic 7315332384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 N Shore Dr
Suite 170
Lake Bluff, IL 60044-2253
Phone (847) 234-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013683ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McLaughlin Chiropractic Clinic LTD Chiropractor CurrentSince Dec 2, 2021 Accepting new patients
McLaughlin Chiropractic Clinic Chiropractor Current Accepting new patients

Locations

900 N Shore Dr
Ste 170
Lake Bluff, IL 60044
Phone (847) 234-2346

900 N Shore Dr
Lake Bluff, IL 60044
Phone (847) 271-8023

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.

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1144814336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SHORE DR STE 170",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442253",
            "telephone_number": "847-234-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SHORE DR STE 170",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442253",
            "telephone_number": "847-234-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.