Lauren K Jacker

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036065604 Issued in IL

Practice address

1893 Sheridan Rd
#303
Highland Park, IL 60035-2628

Phone

(847) 831-9304

Fax

(847) 831-9594

NPI assigned

Jul 21, 2005

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lauren Jacker MD LLC

  • Psychiatry Physician
  • Highland Park, IL
  • NPI 1487044335
  Authorized official Same address or phone
• Wendie T Dalberg LCSW and Associates

  • Clinical Social Worker
  • Highland Park, IL
  • NPI 1104460146
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1154320042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "#303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-831-9304",
            "fax_number": "847-831-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "#303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-831-9304",
            "fax_number": "847-831-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKER",
        "first_name": "LAUREN",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036065604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601732",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intimate Boutique 2, LTD (Betty Schwartzs)
• Ira L Shapira Dental Sleep Medicine LTD (Chicagoland Dental Sleep Medicine (DME))
• Ira L Shapira Dental Sleep Medicine LTD (Chicagoland Dental Sleep Medicine Associates)
• Sadeka Jamil Ismail
• Susan Iverson, OTRL
• Alishia Jacks
• Mark B Jacob
• Marcy Ann Jacobs, M.S.W., L.C.S.W.
• Jacqueline G Rosen
• Roshni Jain, MD

• Psychiatry Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.