Lynnette Marie Jacobs-Pupino, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125051224 Issued in IL

Practice address

800 W Biesterfield Rd
Suite 206
Elk Grove Village, IL 60007-3378

Phone

(847) 981-3678

NPI assigned

Aug 26, 2008

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexian Brothers Medical Care Group NFP

  • Pulmonary Disease Physician
  • Elk Grove Village, IL
  • NPI 1518420413
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1982851432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W SALT CREEK LANE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051069",
            "telephone_number": "847-827-3008",
            "fax_number": "847-483-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BIESTERFIELD RD",
            "address_2": "SUITE 206",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-981-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-PUPINO",
        "first_name": "LYNNETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125051224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rimma Isaac, MA, LPC
• Eduardo M Israel, M.D.
• Anna Ivanenko, MD PHD
• Daniel Winston Ives, M.D.
• Jessica Elyse Jablonski
• Jennifer Jacobs, APRN
• C Meghan Jacobson
• Rashada C James
• Morgan Kay Jameson, PA-C
• Hafsah Fatimah Jamil, MS

• Internal Medicine Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, 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 Apr 8, 2016; 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.