Alen Anil Jacob

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3409 Henley St
Glenview, IL 60025-3909

Phone

(773) 615-0183

NPI assigned

Sep 8, 2025

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1861373813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 HENLEY ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253909",
            "telephone_number": "773-615-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 HENLEY ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253909",
            "telephone_number": "773-615-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ALEN",
        "middle_name": "ANIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Eric Jack, COTA
• Monica Jacklow, PTA
• Autum L Jackson
• Debbra Carline Jackson, COTA
• Karen A Jackson, MD
• Amir Jacob, SSP
• Christina C Jacob, D.D.S.
• Laurence A Jacobs, M.D.
• Solange Jacobs, OTR/L
• Suzanne Ellen Jacobs, OTD, OTR/L

• Student in an Organized Health Care Education/Training Program in Glenview, IL
• Providers in Glenview, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.