JACOBY CHIROPRACTIC & SPORTS PERFORMANCE (NPI# 1063754943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754943 |
| Entity Type | Organization |
| Organization Name | JACOBY CHIROPRACTIC & SPORTS PERFORMANCE |
| Practice Address |
401 W Ontario St Suite 150 Chicago IL 60654-6957 |
| Mailing Address |
1735 N Paulina St #301 Chicago IL 60622-1133 |
| Practice Telephone | 8473387590 |
| Mailing Telephone | 8473387590 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. BRIAN J JACOBY (OWNER) |
| Authorized Official Telephone | 8473387590 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3801113 | IL | Chiropractic Providers |
| Street Address |
401 W ONTARIO ST SUITE 150 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053411926 | Geraldine Cahill-mohen | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2006-09-22 |
| 1568724292 | Patrick Malartsik Dc LLC | Chiropractor | 401 W Ontario St, Suite 150, Chicago, IL 60654-6957 | 2012-06-08 |
| 1407164353 | Jill M Clark | Chiropractor | 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 | 2010-09-14 |
| 1114155728 | Dr. Gregory S. Hoffman | Chiropractor | 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 | 2009-06-23 |
| 1063632529 | Alan M Tan | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2007-04-26 |
| 1528123973 | For Your Health & Wellness | Internal Medicine | 401 W Ontario St, Suite 220, Chicago, IL 60654 | 2006-12-26 |
| 1386733012 | Marcy R Modica | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
| 1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
| 1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
| 1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
| 1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
| 1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
| 1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
| 1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on JACOBY CHIROPRACTIC & SPORTS PERFORMANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.