DR. JACLYN KAY ANDERSON (NPI# 1316974041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316974041 |
Entity Type | Individual |
Full Name | DR. JACLYN KAY ANDERSON |
Credential | DO, MS |
Practice Address |
200 Abbott Park Rd Dept. R4ne, Bldg. Ap34-2 Abbott Park IL 60064-6187 |
Practice Telephone | 8479380133 |
Mailing Telephone | 8479380133 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2010-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 3715 | IA | Allopathic & Osteopathic Physicians |
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036.125386 | IL | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
5874 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0727701 | 05 | |
IA | WELLMARK BCBS | 26707 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699295113 | Jaclyn Anderson | Pharmacist | 2700 Baker St Ste 3a, Muskegon Hts, MI 49444-2157 | 2017-06-26 |
1033485214 | Jaclyn Kate Anderson | Registered Nurse | N7770 Loyalty Rd, Blanchardville, WI 53516-9624 | 2012-04-01 |
1477950095 | Jaclyn Nicole Anderson | Physician Assistant | 2000 Green Rd, 300, Ann Arbor, MI 48105-1598 | 2014-11-25 |
1154720696 | Jaclyn Anderson | Specialist/Technologist | 1101 Camden Ave, Salisbury, MD 21801-6837 | 2014-08-21 |
1538451067 | Jaclyn Anderson | Dental Assistant | 11012 Canyon Rd E, Suite #8 Pmb #761, Puyallup, WA 98373-4200 | 2011-05-02 |
1295920726 | Jaclyn Marie Anderson | Occupational Therapist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2007-09-07 |
1801000385 | Jaclyn M Anderson | Pediatrics | 7370 Turfway Rd, Suite 200, Florence, KY 41042-4895 | 2007-05-10 |
Street Address |
200 ABBOTT PARK RD DEPT. R4NE, BLDG. AP34-2 |
City | ABBOTT PARK |
State | IL |
Zip Code | 60064-6187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699714691 | Robert G Hoff | Pathology | 200 Abbott Park Rd, Abbott Park, IL 60064-3503 | 2006-06-05 |
1053608166 | Genious Chaudhry | Pharmacist | 200 Abbott Park Rd, Abbott Park, IL 60064-3503 | 2011-07-09 |
1124322516 | Lewis Schwartz | Surgery | 200 Abbott Park Rd, Ap52-2, Abbott Park, IL 60064-1447 | 2010-12-29 |
1235252941 | Laura Ann Williams | Internal Medicine | 200 Abbott Park Rd, Abbott Park, IL 60064-3503 | 2007-04-09 |
1811040306 | Armenak Asatryan | Internal Medicine | 200 Abbott Park Rd, Ap 34 - 2, Dept R4rc, Abbott Park, IL 60064-3503 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
Find all providers in zip 60064 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
Find all providers with the same taxonomy |
City | ABBOTT PARK |
Zip Code | 60064 |
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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.