Mercedes Isabel Jacks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085009854 Issued in IL

Practice address

1585 Barrington Rd Ste 501
Hoffman Estates, IL 60169-5020

Phone

(847) 490-8900

NPI assigned

Dec 4, 2023

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

Other names 1

• Miss Mercedes Isabel Vasquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1174399802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD STE 501",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695020",
            "telephone_number": "847-490-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD STE 501",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695020",
            "telephone_number": "847-490-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "MERCEDES",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "VASQUEZ",
            "middle_name": "ISABEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabelo M Evangelista
• Ishine Behavioral Health Inc
• Ishwar K. Patel, M.D., S.C.
• Melissa Ivins-Lukse, PHD
• Reena Jabamoni, MD
• Elizabeth Lauren Jacobson
• Tiffanie A. Jacobson, RD, LDN
• Jeffrey J. Jagmin, M.D.
• Rachel Jakubowski, PA-C
• James W. Sislow D.D.S. LTD.

• Physician Assistant in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.