MARK E JACOBS (NPI# 1003834326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003834326 |
| Entity Type | Individual |
| Full Name | MARK E JACOBS |
| Credential | D.C. |
| Practice Address |
405 W Main St Genoa IL 60135-1164 |
| Practice Telephone | 8157844455 |
| Practice Fax Number | 8157844454 |
| Mailing Telephone | 8157844455 |
| Mailing Fax Number | 8157844454 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038008275 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TRICARE MEDICARE | 350045727 | 01 |
| IL | BLUE CROSS/BLUE SHIELD IL | 01921720 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| 1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
| 1346311560 | Mark S Jacobs | Dentist | 802 N Broadway, Melrose Park, IL 60160-3726 | 2006-11-10 |
| 1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1679533186 | Mark Matthew Jacobs | Obstetrics & Gynecology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-03-27 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1124013883 | Mark D. Jacobs | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2005-09-19 |
| 1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| Street Address |
405 W MAIN ST |
| City | GENOA |
| State | IL |
| Zip Code | 60135-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1831368612 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 540 E Main Street, Suite 5, Genoa, IL 60135 | 2008-02-26 |
| 1578582474 | Steven J Disanti | General Practice | 109 South Genoa Street, Genoa Medical Clinic, Genoa, IL 60135 | 2006-07-19 |
| 1558828947 | Victoria Elizabeth Deku | Speech-Language Pathologist | 123 W 1st St, Genoa, IL 60135-1016 | 2019-02-22 |
| 1134321698 | Genoa Kingston Cusd 424 | Local Education Agency (LEA) | 941 W Main St, Genoa, IL 60135-1037 | 2007-06-05 |
| 1992256309 | Angela Moore | Nurse's Aide | 519 W 2nd St, Genoa, IL 60135-1058 | 2016-10-20 |
| 1609887918 | Martha Ann Moegling | Chiropractor | 112 N Emmett St Ste A, Genoa, IL 60135-1087 | 2006-08-11 |
| 1306858154 | Natural Family Health S.c. | Chiropractor | 112 N Emmett St Ste A, Genoa, IL 60135-1087 | 2006-08-12 |
| 1013939602 | Steven J. Disanti D.o. S.c. | Family Medicine | 109 S Genoa St, Genoa, IL 60135-1120 | 2006-07-24 |
| 1659511632 | Sherie Anne Perdue | Dentist | 209 W Main St, Genoa, IL 60135-1145 | 2009-03-03 |
| Find all providers in zip 60135 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609887918 | Martha Ann Moegling | Chiropractor | 112 N Emmett St Ste A, Genoa, IL 60135-1087 | 2006-08-11 |
| 1417989575 | Mark E Rich | Chiropractor | 23285 State Route 51 W, Genoa, OH 43430-1042 | 2006-07-07 |
| 1801168596 | Rich Chiropractic Center, Inc. | Chiropractor | 23285 State Route 51 W, Genoa, OH 43430-1042 | 2012-01-27 |
| 1669547352 | Dr Hilda Hattar Dc PC | Chiropractor | 815 E Main St, Genoa, IL 60135-1313 | 2006-11-21 |
| 1306858154 | Natural Family Health S.c. | Chiropractor | 112 N Emmett St Ste A, Genoa, IL 60135-1087 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.