Daniel Jacob

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036097540 Issued in IL

Practice address

1820 E Boulder Dr
Mount Prospect, IL 60056-1961

Phone

(224) 475-2433

NPI assigned

Mar 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1801213962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E BOULDER DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561961",
            "telephone_number": "224-475-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E BOULDER DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561961",
            "telephone_number": "224-475-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innate Concepts Chiropractic
• Innate Concepts Chiropractic, LLC
• Katarzyna B Iwanicki, P.A.
• Iwona Stefania Iwaszczyszyn, DDS
• J R C Just Right Care LTD (Prime Life Wellness)
• Maria Isabel A. Jacobo, PT
• Vidhi Jain
• James J. Nuzzo DPM SC
• Janusz Mejer MD, SC.
• Jeffrey W. Collins, P.C. (Collins Chiropractic Center)

• Internal Medicine Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.