ELIZABETH JACOB (NPI# 1194108118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194108118 |
| Entity Type | Individual |
| Full Name | ELIZABETH JACOB |
| Practice Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306827400 |
| Mailing Telephone | 6306827400 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 049099350 | IL | Pharmacy Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149718 | Elizabeth Jacob | Pharmacist | 220 W Parkway Ste 4, Pompton Plains, NJ 07444-1048 | 2017-08-04 |
| 1861826331 | Elizabeth Mary Jacob | Pharmacist | 1 Wrentham St, Bellingham, MA 02019-2532 | 2013-09-02 |
| 1619408234 | Elizabeth Jacob | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Dhmc Department of Surgery, Lebanon, NH 03756-1000 | 2017-03-24 |
| 1528201225 | Elizabeth G. Jacob | Respiratory Therapist, Registered | 115 E Main St Ste 18, Williamston, NC 27892-2482 | 2009-04-09 |
| 1134378136 | Elizabeth Pulikkottil Jacob | Pediatrics | 180 Phillips Hill Rd, Suite 4 A, New City, NY 10956-4132 | 2008-09-15 |
| 1760518252 | Elizabeth Mary Jacob | Pediatrics | 595 Copeland Mill Rd, Westerville, OH 43081 | 2007-02-26 |
| Street Address |
111 N COUNTY FARM RD |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-3977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134110786 | County of Dupage Department of Health | Clinic/Center | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2005-11-02 |
| 1184225369 | Maria Okba | Counselor | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-11-04 |
| 1376140962 | Janet Aileen Jachna | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-10-06 |
| 1962009944 | Louise Dykes | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-10-03 |
| 1083229074 | Kara Grace Franco | Counselor | 111 N County Farm Rd, Wheaton, IL 60187-3988 | 2020-09-15 |
| 1659986420 | Brenda Chavez | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-09-09 |
| 1023622040 | Laura Bobbitt | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-09-08 |
| 1841803053 | Gloria Azie | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-08-26 |
| 1134730229 | Nadia Huerta | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3988 | 2020-08-12 |
| 1811512742 | Kendra Walker | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740553577 | James Rericka | Case Manager/Care Coordinator | 318 Wood St, Wheaton, IL 60187-5855 | 2012-02-09 |
| 1144450016 | Sarah Marie Young | Case Manager/Care Coordinator | 202 8th St N, Wheaton, MN 56296-1461 | 2009-07-24 |
| 1659986420 | Brenda Chavez | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-09-09 |
| 1134730229 | Nadia Huerta | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3988 | 2020-08-12 |
| 1811512742 | Kendra Walker | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-06-16 |
| 1225653389 | Momina Hussain | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-06-14 |
| 1558983163 | Veronica Williams | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-05-18 |
| 1437771508 | Deborah Lynn Sperlik | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-05-12 |
| 1316587983 | Blanca Urbina | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-01-13 |
| 1578102844 | Oksana Gorbencko | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-01-03 |
| Find all providers in WHEATON | ||||
Please comment or provide details below to improve the information on ELIZABETH 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.