JEENA JACOB INC. (NPI# 1275705592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275705592 |
| Entity Type | Organization |
| Organization Name | JEENA JACOB INC. |
| Practice Address |
1721 Moon Lake Blvd Ste 150 Hoffman Estates IL 60169-1069 |
| Mailing Address |
1173 Ancient Oaks Ct Bartlett IL 60103-1711 |
| Practice Telephone | 8475193650 |
| Practice Fax Number | 8475193652 |
| Mailing Telephone | 8479128958 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | DR. JEENA GEORGE JACOB (PRESIDENT) |
| Authorized Official Telephone | 8479128958 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
1721 MOON LAKE BLVD STE 150 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572205 | Jarod Michael Schieler | Physician Assistant | 1721 Moon Lake Blvd Ste 150, Hoffman Estates, IL 60169-1070 | 2020-09-10 |
| 1376878454 | Frances Berns | Registered Nurse | 1721 Moon Lake Blvd Ste 150, Hoffman Estates, IL 60169-1070 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669583357 | Joel Stephan Richman | Psychologist | 2300 Barrington Rd, Suite 487, Hoffman Estates, IL 60169-2082 | 2006-08-31 |
| 1407467475 | Terri Watson | Psychologist | 3100 W Higgins Rd Ste 195, Hoffman Estates, IL 60169-7253 | 2020-08-13 |
| 1093352080 | Jennifer Jedrzejczak | Psychologist | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2019-12-09 |
| 1770141319 | Alice Nicole Schruba | Psychologist | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2019-05-29 |
| 1144761040 | Lacey Lemke | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2017-03-13 |
| 1972746626 | Charles Paul La Chance | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2009-04-10 |
| 1306010210 | Cecelia M Horan | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2008-04-22 |
| 1730374422 | Karen L Schmidt | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2007-09-06 |
| 1083740534 | Robyn Lynn Varblow | Psychologist | 3100 W Higgins Rd Ste 195, Hoffman Estates, IL 60169 | 2007-02-26 |
| 1467505503 | Robert A. Watson, Psy.d., L.L.C. | Psychologist | 3100 W Higgins Rd, Suite 195, Hoffman Estates, IL 60195-5251 | 2007-01-20 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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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.