Active NPI
Dr Brian Jacoby LLC
- Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011130
- Legal business name
- DR BRIAN JACOBY LLC
- Practice address
- 1360 N Sandburg Terrace
Chicago, IL 60610-2050 - Phone
- (312) 944-4653
- Fax
- (773) 337-9106
- NPI assigned
- Mar 27, 2012
- Last updated
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Jacoby, DC
- Title
- Owner
- Phone
- (847) 338-7590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011130 | IL | Primary |
Addresses
Primary practice location
1360 N Sandburg Terrace
Chicago, IL 60610-2050
Mailing address
1735 N Paulina St
# 301
Chicago, IL 60622-1133
Phone (184) 733-8759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038011130 | Other | IL | PHYSICIAN LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Brian Jacoby LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Chicago, IL
- NPI 1063754943
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Chicago, IL
- NPI 1649441130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1699041459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 N PAULINA ST",
"address_2": "# 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221133",
"telephone_number": "184-733-8759",
"fax_number": "773-337-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 N SANDBURG TERRACE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102050",
"telephone_number": "312-944-4653",
"fax_number": "773-337-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR BRIAN JACOBY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "JACOBY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "18473387590",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "038011130",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.