LIJA JACOB (NPI# 1083184469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083184469 |
| Entity Type | Individual |
| Full Name | LIJA JACOB |
| Credential | NP |
| Practice Address |
911 N Elm St Hinsdale IL 60521-3634 |
| Practice Telephone | 6308618855 |
| Mailing Telephone | 6308616655 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017860 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
911 N ELM ST |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550798 | Lisa Holmes | Family Medicine | 911 N Elm St, Ste 123, Hinsdale, IL 60521-3634 | 2006-04-26 |
| 1366989204 | Joshua Morris | Counselor | 911 N Elm St, Hinsdale, IL 60521-3634 | 2017-01-30 |
| 1750767745 | Vascular and Interventional Professionals, LLC | Surgery | 911 N Elm St, Ste 128, Hinsdale, IL 60521-3634 | 2015-08-03 |
| 1487058673 | Adventist Health Partners, Inc. | Dietitian, Registered | 911 N Elm St, 115, Hinsdale, IL 60521-3634 | 2014-10-16 |
| 1457766347 | Anna Dolan | Counselor | 911 N Elm St, Suite 316, Hinsdale, IL 60521-3634 | 2014-06-30 |
| 1619382660 | Monique Prohaska-slattery | Counselor | 911 N Elm St, Suite 316, Hinsdale, IL 60521-3634 | 2014-06-29 |
| 1487064804 | Adventist Health Partners, Inc. | Internal Medicine | 911 N Elm St, Ste 115, Hinsdale, IL 60521-3634 | 2014-05-07 |
| 1386075893 | Adventist Health Partners, Inc | Internal Medicine | 911 N Elm St, Suite 115, Hinsdale, IL 60521-3634 | 2013-12-09 |
| 1003168428 | Mary E Mcraven | Physician Assistant | 911 N Elm St, Suite 128, Hinsdale, IL 60521-3634 | 2012-10-09 |
| 1225390479 | Lanay L Samuelson | Nurse Practitioner | 911 N Elm St, Ste 115, Hinsdale, IL 60521-3634 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313674 | Jolene K Manuyag | Nurse Practitioner | 12 Salt Creek Ln Ste 425, Hinsdale, IL 60521-8603 | 2020-03-27 |
| 1861032245 | Kenneth Dale Restor | Nurse Practitioner | 15 Spinning Wheel Rd Ste 30, Hinsdale, IL 60521-7651 | 2020-01-13 |
| 1164998332 | Leslie Greskowiak | Nurse Practitioner | 8 Salt Creek Ln Ste 301, Hinsdale, IL 60521-2903 | 2018-10-15 |
| 1336697234 | Laura Greco | Nurse Practitioner | 736 N York Rd Unit 2n, Hinsdale, IL 60521-3535 | 2016-09-20 |
| 1548646243 | Danielle Roach | Nurse Practitioner | 109 Symonds Dr, #578, Hinsdale, IL 60521-3763 | 2015-08-04 |
| 1770925141 | Juliet George | Nurse Practitioner | 15 Salt Creek Ln Ste 111, Hinsdale, IL 60521-2962 | 2013-07-25 |
| 1699938613 | Kristin Kellie Mccolly | Nurse Practitioner | 146 Scale Road, Hinsdale, MT 59241 | 2008-07-09 |
| 1871583179 | Jeanine Harshbarger | Nurse Practitioner | 119 E Ogden Ave, Hinsdale, IL 60521-3590 | 2005-10-27 |
| 1457966079 | Alla Dubenets | Nurse Practitioner | 907 N Elm St Ste 101, Hinsdale, IL 60521-3644 | 2020-09-10 |
| 1407468853 | Anthony Richard Bell | Nurse Practitioner | 120 N Oak St, Hinsdale, IL 60521-3829 | 2020-08-18 |
| Find all providers in HINSDALE | ||||
Please comment or provide details below to improve the information on LIJA JACOB.
| 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.