JACOB KLOET


Address: 3302 W Schubert Ave, Apt 2e, Chicago, IL 60647-1324
Phone: 2624920175

JACOB KLOET (NPI# 1598119125) 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) 1598119125
Entity Type Individual
Full Name JACOB KLOET
Practice Address 3302 W Schubert Ave
Apt 2e
Chicago
IL 60647-1324
Mailing Address 3302 W Schubert Ave
Apt 2e
Chicago
IL 60647
Practice Telephone 2624920175
Enumeration Date 2016-04-20
Last Update Date 2016-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 3302 W SCHUBERT AVE
APT 2E
City CHICAGO
State IL
Zip Code 60647-1324

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1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
1457872475 Stefanie Paola Maurtua Behavioral Analyst 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 2017-06-29
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609477579 Shantrell Patrice Sutton Counselor 5042 W Erie St, Chicago, IL 60644-1604 2020-11-05
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1811597263 April Wilburne Counselor 804 E 54th St Apt 3, Chicago, IL 60615-4972 2020-10-27
1043810393 Pamela Kranyak Counselor 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 2020-10-27
1003413378 Erika Aguirre Counselor 5040 S Keating Ave., Chicago, IL 60632-4919 2020-10-08
1497361661 Michael V Biederman Counselor 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 2020-09-22
1013523984 Antionette Fisher Counselor 5703 S Peoria St, Chicago, IL 60621-2262 2020-09-16
1114532561 Nefesh Counseling, LLC Counselor 3320 W Foster Ave # 124, Chicago, IL 60625-4813 2020-09-12
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Competitor

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City CHICAGO
Zip Code 60647

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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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