Lauren Jacker MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036065604 Issued in IL

Legal business name

LAUREN JACKER MD LLC

Practice address

1893 Sheridan Rd
Suite 303
Highland Park, IL 60035-2628

Phone

(847) 831-9304

Fax

(847) 831-9594

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Lauren K Jacker, MD

Title

President

Phone

(847) 831-9304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1487044335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "SUITE 303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-831-9304",
            "fax_number": "847-831-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "SUITE 303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-831-9304",
            "fax_number": "847-831-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN JACKER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "JACKER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-831-9304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036065604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Shore Gastroenterology
• Lakeshore Transit LLC
• Monique Lambert, APN-CNP
• Dominika Landau-Lee
• Lisa Lang, L.C.P.C.
• Gabriella Charlotte Laurino, DC
• Rory Lavery
• Teresa Murray Law, MD
• Cathy Jane Lazarus, MD
• Jessica Leal

• Psychiatry Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.