Active NPI
Cynthia Lynn Jakubiec, D.C.
- Chiropractor
- Orland Park, IL
National Provider Identifier
1548301294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009493
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009493 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored in Health SC | Chiropractor | Current | 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.
-
- Chiropractor
- Orland Park, IL
- NPI 1073173407
-
- Chiropractor
- South Barrington, IL
- NPI 1396884060
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.