Carmen Y Jacoby, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007662 Issued in IL

Practice address

100 Olyvia Dr Apt 3
Saint Jacob, IL 62281-1570

Phone

(618) 927-6810

NPI assigned

Dec 21, 2006

Last updated

Mar 27, 2026By 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 2

Addresses

Other identifiers 2

Other names 1

• Carmen Y Jacoby Professional name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Chiropractic KinesiologypcGroup PAC ID 7214978113, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Illinois Chiropractic Kinesiologypc

  dba Osborne Chiropractic PC

  • Chiropractor
  • O'Fallon, IL
  • NPI 1376620260
  Medicare reassignment Care Compare group NPD
• Well Life Chiropractic LLC

  • Chiropractor
  • Ellisville, MO
  • NPI 1730027384
  Medicare reassignment NPD Authorized official
• Herron Rehab and Wellness Center, S.C.

  • Occupational Therapist
  • West Frankfort, IL
  • NPI 1710110861

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1154485316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLYVIA DR APT 3",
            "city": "SAINT JACOB",
            "state": "IL",
            "postal_code": "622811570",
            "telephone_number": "618-927-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLYVIA DR APT 3",
            "city": "SAINT JACOB",
            "state": "IL",
            "postal_code": "622811570",
            "telephone_number": "618-927-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "CARMEN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "H32611068907",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "02807755",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "438191",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "JACOBY",
            "middle_name": "Y",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Chiropractor in Saint Jacob, IL
• Providers in Saint Jacob, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.