Active NPI
India Jacobson
- Prosthetist
- Chicago, IL
National Provider Identifier
1982515003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 211000318
- Practice address
- 2211 N Oak Park Ave
Chicago, IL 60707-3351 - Phone
- (773) 466-6922
- Fax
- (813) 518-7659
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 213000348 | IL | |
| Prosthetist | 224P00000X | 211000318 | IL | Primary |
Addresses
Primary practice location
2211 N Oak Park Ave
Chicago, IL 60707-3351
Mailing address
2211 N Oak Park Ave
Chicago, IL 60707-3351
Phone (773) 466-6922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1982515003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 N OAK PARK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607073351",
"telephone_number": "773-466-6922",
"fax_number": "813-518-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 N OAK PARK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607073351",
"telephone_number": "773-466-6922",
"fax_number": "813-518-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "INDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "IL",
"license": "213000348",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "IL",
"license": "211000318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.