Organization Active NPI

Michele a Jurkovic

  • Durable Medical Equipment & Medical Supplies
  • Sycamore, IL
National Provider Identifier
1700026929
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
046008623 Issued in IL
Legal business name
MICHELE A JURKOVIC
Practice address
2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone
(815) 758-2020
Fax
(815) 756-8843
NPI assigned
Feb 27, 2009
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Michele A JurkovicNPI 1588767024
Title
Owner
Phone
(815) 758-2020

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 046008623 IL Primary

Addresses

Primary practice location

2570 Dekalb Ave
Sycamore, IL 60178-3109

Mailing address

2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone (815) 758-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067613 IL DME Supplier - Physician - Optometrist 5294856514 Practice locations: Sycamore, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michele a Jurkovic2570 Dekalb Ave, Sycamore, IL 60178-310981575820203117 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Sep 20, 1999

National Provider Directory

National Provider Directory

Locations

2570 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-2222

2810 DeKalb Ave
Sycamore, IL 60178
Phone (815) 758-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1700026929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-758-2020",
            "fax_number": "815-756-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-758-2020",
            "fax_number": "815-756-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE A JURKOVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "JURKOVIC",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-758-2020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "046008623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.