Organization Active NPI

Jackie Kotecki LLC

  • Chiropractor
  • Beecher, IL
National Provider Identifier
1720938608
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACKIE KOTECKI LLC
Practice address
466 W Indiana Ave
Beecher, IL 60401
Phone
(708) 584-3842
Fax
(219) 394-0023
NPI assigned
Jan 30, 2026
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Jackie Kotecki, DCNPI 1851128441
Title
Chiropractic Physician
Phone
(708) 297-4797

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

466 W Indiana Ave
Beecher, IL 60401

Mailing address

13926 N Wilmington St
Cedar Lake, IN 46303-8057
Phone (708) 297-4797

National Provider Directory

National Provider Directory

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": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1720938608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13926 N WILMINGTON ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463038057",
            "telephone_number": "708-297-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 W INDIANA AVE",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "60401",
            "telephone_number": "708-584-3842",
            "fax_number": "219-394-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE KOTECKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "KOTECKI",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "708-297-4797",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beecher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.