DR. JACLYN KAY ANDERSON


Address: 200 Abbott Park Rd, Dept. R4ne, Bldg. Ap34-2, Abbott Park, IL 60064-6187
Phone: 8479380133

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IA 0727701 05
IA WELLMARK BCBS 26707 01

Other Providers JACLYN ANDERSON

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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

Office Location

Street Address 200 ABBOTT PARK RD
DEPT. R4NE, BLDG. AP34-2
City ABBOTT PARK
State IL
Zip Code 60064-6187

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City ABBOTT PARK
Zip Code 60064

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Dataset Information

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.

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