NPIMap

Organization Active NPI

Sapna Jacob M.D, S.C.

  • Primary Care Clinic/Center
  • Libertyville, IL
National Provider Identifier
1730440199
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036-125939 Issued in IL
Legal business name
SAPNA JACOB M.D, S.C.
Practice address
131 E Park Ave
Suite 103
Libertyville, IL 60048-2800
Phone
(847) 327-1434
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Sapna Jacob, M.D.NPI 1447330709
Title
Physician Owner
Phone
(512) 203-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036-125939 IL Primary

Addresses

Primary practice location

131 E Park Ave
Suite 103
Libertyville, IL 60048-2800

Mailing address

131 E Park Ave
Suite 103
Libertyville, IL 60048-2800
Phone (847) 327-1434

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1730440199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E PARK AVE",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482800",
            "telephone_number": "847-327-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E PARK AVE",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482800",
            "telephone_number": "847-327-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPNA JACOB M.D, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "512-203-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-125939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.