Jessica Lauren Jakob

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004919 Issued in IL

Practice address

1725 W Harrison St
Suite 340
Chicago, IL 60612-3841

Phone

(312) 664-6715

Fax

(312) 563-0165

NPI assigned

Nov 17, 2014

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

Electronic endpoints 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jjakob289530@direct.myadvocateaurora.org

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.

• John G Latall MD SC

  dba Premier Allergy, Asthma and Sinus SC

  • Allergy Physician
  • Chicago, IL
  • NPI 1134485055
  Medicare reassignment
• University Head and Neck Associates, SC

  dba The Midwest Sinus Center

  • Otolaryngology Physician
  • Downers Grove, IL
  • NPI 1598755456
  Medicare reassignment

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1386040400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-664-6715",
            "fax_number": "312-563-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-664-6715",
            "fax_number": "312-563-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOB",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjakob289530@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3800 Highland Ave Ste 105",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3800 Highland Ave Ste 105",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deepak Jajoo, M.D.
• Shriram M Jakate, MD
• Charmaine E Jake-Matthews, D.MIN.
• Lachrisia Jakes
• Jerry Jakimiec, MD
• Kimberly Kay Jakob
• Simon Jakobovits
• Peter Jaksa, PH.D.
• Richard James Jakubik, PSY.D, LCSW
• Andrzej Jakubowiak

• Physician Assistant in Chicago, IL
• Providers in Chicago, 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 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.