Lynne Marie Jalovec, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036068613 Issued in IL

Practice address

900 Main St
Suite 310
Peoria, IL 61602-1005

Phone

(309) 672-4174

Fax

(309) 672-4132

NPI assigned

Aug 24, 2006

Last updated

Apr 8, 2017By the provider in NPPES

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 identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lynne M Jalovec, MD, SC

  • Surgery Physician
  • Peoria, IL
  • NPI 1093092470
  Authorized official Same address or phone

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491609600000",
    "number": "1407963630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "STE 310",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025015",
            "telephone_number": "309-672-4174",
            "fax_number": "309-672-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 310",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-672-4174",
            "fax_number": "309-672-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALOVEC",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036068613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07222457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020041463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068613-3",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew D Jager, D.O.
• Jaimee York PLLC (Arthur Layne Counseling Services)
• Jak Enterprises Dba Jak Optical Laboratories (JAK Optical Laboratories)
• Charlotte Sunaina Jakkula
• Ahmed Tejan Jalloh Jr., MD
• James J Malavolti DC LLC (Malavolti Chiropractic Center)
• James K Crane MDSC
• James L. Swingler M.D. Gynecology & Obstetrics S.C.
• James R Debord
• Colleen James, OTR/L

• Surgery Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; 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.