Laura Ann Jacob (NPI# 1144427857, PAC ID# 2365701638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1144427857 |
| PAC ID by PECOS | 2365701638 |
| Professional Enrollment ID | I20180111001753 |
| Full Name | Laura Ann Jacob |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Address |
1801 Windsor Rd Champaign IL 61822-6217 |
| Phone Number | 2173668000 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 7719899319 |
| Number of Group Practice Members | 169 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1801 Windsor Rd, Champaign, IL 61822-6217 | 2173668000 | CHRISTIE CLINIC, LLC |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Physicians | 179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Jennifer Lynn Laubscher | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Steven J Damore | Radiation Oncology | Christie Clinic, LLC | 109 W University Ave, Champaign, IL 61820-3909 |
| Jessica M Sorensen | Physician Assistant | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Jeanelle Y Murphy | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Nancy S Davidson | Physical Therapy | Christie Clinic, LLC | 1207 S Mattis Ave, Champaign, IL 61821-4861 |
| Onachukwu G Osaji | Family Medicine | Christie Clinic, LLC | 1001 Commercial Dr, Mahomet, IL 61853-8625 |
| Nathan R Walker | Internal Medicine | Christie Clinic, LLC | 501 Dunlap Ave, Savoy, IL 61874 |
| Jeanette Marie Feucht | Nurse Practitioner | Christie Clinic, LLC | 2502 E Empire St C, Bloomington, IL 61704-3739 |
| Kristi L Gresch | Physical Therapy | Christie Clinic, LLC | 2110 Fox Dr, Champaign, IL 61820-7553 |
| Street Address |
1801 WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61822-6217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Bartlett | Internal Medicine | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Sheila R Schmitz | Nurse Practitioner | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Joseph Keeley | Pediatric Medicine | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Joanita Maison | Nurse Practitioner | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Francis S Lee | Family Medicine | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Heather Obrien | Psychologist, Clinical | Psychology Specialists Ltd | 1801 Windsor Rd, Suite 2167, Champaign, IL 61822-6217 |
| Jennifer Ingold | Nurse Practitioner | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Lindsey George | Family Medicine | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Kelly D Bryant | Nurse Practitioner | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Tegan Mccormick | Internal Medicine | Christie Clinic, LLC | 1801 Windsor Rd, Champaign, IL 61822-6217 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| Kerra Meyers | Nurse Practitioner | Osf Multi-specialty Group | 2710 N Prospect Ave, Champaign, IL 61822-1298 |
| Kathleen E El Koury | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Todd F Harrison | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Angela L Jackson | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Davendra P Ramkumar | Gastroenterology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Sarah A Spizzirri | Podiatry | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Douglas S. Bull | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Chris W. Schmidt | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Find all physicians in zip 61822 | |||
| City | CHAMPAIGN |
| Zip Code | 61822 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | CHAMPAIGN + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.