Individual provider Active NPI

Cynthia Lynn Jakubiec, D.C.

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1548301294
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009493 Issued in IL
Practice address
11524 183Rd PL Ste 200
Orland Park, IL 60467-9501
Phone
(708) 462-5113
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009493 IL Primary

Addresses

Primary practice location

11524 183Rd PL Ste 200
Orland Park, IL 60467-9501

Mailing address

11524 183Rd PL Ste 200
Orland Park, IL 60467-9501
Phone (708) 462-5113

Other names 1

  • Dr. Cynthia Lynn Evankoe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000368 IL Practitioner - Chiropractic 6901858778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11524 183Rd PL
Suite 200
Orland Park, IL 60467-9501
Phone (708) 462-5113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009493ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored in Health SC Chiropractor CurrentSince Jul 17, 2019 Accepting new patients
Radiant Health, Inc. Chiropractor Past Accepting new patients

Locations

13703 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-4416

11524 183rd Pl
Ste 200
Orland Park, IL 60467
Phone (630) 243-7437

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1548301294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 183RD PL STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679501",
            "telephone_number": "708-462-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 183RD PL STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679501",
            "telephone_number": "708-462-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBIEC",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "EVANKOE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.