Dr. Reena Jacob LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.009233 Issued in IL

Legal business name

DR. REENA JACOB LTD

Practice address

1216 American Way Ste 102
Libertyville, IL 60048-3939

Phone

(847) 549-9595

NPI assigned

Jan 24, 2012

Last updated

Dec 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reena Jacob, D.C.NPI 1265466346

Title

President

Phone

(847) 275-7403

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reena Jacob, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1265466346
  Medicare reassignment NPD Authorized official
• Misty Lynn Blomquist, L.AC

  • Acupuncturist
  • Libertyville, IL
  • NPI 1902140916
  NPD (past)
• Rita Rae Graham, NCTMB

  • Specialist
  • Libertyville, IL
  • NPI 1003149766
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1477824357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 HARRISON ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254620",
            "telephone_number": "847-275-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 AMERICAN WAY STE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483939",
            "telephone_number": "847-549-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. REENA JACOB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-275-7403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Doporcyk, PHARMD
• Blake Webster Dowell, O.D.
• Linda S Doyle, NP-C
• Dr Zhongs Family Care
• Dr. Briana Skarbek Chiropractic P.C.
• Drexler Family Practice S C
• Carol L Dreyer, LCPC
• Adele Rose Duba-Nagel
• Ramona Kaunas Duff
• Victoria Marie Dukharan

• Chiropractor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.