SALLI JACOBSEN


Address: 6699 Torch Lite Tr, Loves Park, IL 61111
Phone: 8158853202

SALLI JACOBSEN (NPI# 1316562788) 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) 1316562788
Entity Type Individual
Full Name SALLI JACOBSEN
Practice Address 6699 Torch Lite Tr
Loves Park
IL 61111
Practice Telephone 8158853202
Mailing Telephone 8158853202
Enumeration Date 2020-06-11
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 6699 TORCH LITE TR
City LOVES PARK
State IL
Zip Code 61111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003476425 Costco Wholesale Corporation Pharmacy 5000 Stadium Drive, Loves Park, IL 61111 2019-06-18
1427541077 Ronit Golan Physical Therapist 4401 Peak Dr Ste 1, Loves Park, IL 61111 2018-06-08
1598049025 Sara Debelak Developmental Therapist 7225 Golden Eagle Drive, Loves Park, IL 61111 2011-10-03
1083906382 Gagandeep Goyal Anesthesiology 5504 N 2nd St, Loves Park, IL 61111 2011-05-05
1124354261 Asap Transport, LLC Taxi 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 2009-10-25
1235212275 Roger H Hill Optometrist 4301 N Mulford Rd, Loves Park, IL 61111 2006-10-23
1831104546 Pointcore, Inc. Pharmacy 9951 Rock Cut Crossing, Loves Park, IL 61111 2006-07-30
1629099627 Lisa A. Breisch Counselor Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 2006-07-22
1386670529 Joseph L Digirolamo Chiropractor 116 East Riverside Blvd, Loves Park, IL 61111 2006-06-22
1720045859 Metro Medical Services Inc Ambulance 5112 Forest Hills Ct, Loves Park, IL 61111 2006-05-01
Find all providers in zip 61111

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881294874 Paulette Lovelace Technician 521 Vicksburg Dr, Belleville, IL 62221-6670 2020-10-28
1891395893 Cheryl Lynn Eubanks Technician 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 2020-10-28
1043818446 Sabrina Marie Williams Technician 211 S Lodge St, Shelbyville, IL 62565-1951 2020-10-16
1124626213 Tonya Lee Burdell Technician 315 S Douglas St, Litchfield, IL 62056-1851 2020-10-12
1720685704 Itzayana Rodriguez Technician 5037 Carol Ct, Rockford, IL 61108-4157 2020-10-02
1871108209 Ashley Marie Dawkins Technician 528 Grant Dr, Quincy, IL 62301-7234 2020-09-11
1104437797 Stephen T Medford Technician 1017 Hartman Ln, O Fallon, IL 62269-7207 2020-08-16
1528685088 Maxine Washington Technician 2014 S. 17th Ave., Broadview, IL 60155-2906 2020-07-01
1356962377 Brenda Lou Isermann Technician 406 W South 2nd St, Shelbyville, IL 62565-2114 2020-04-30
1699394791 Lourdes Perez Technician 5103 Pontigo Glen Dr, Plainfield, IL 60586-4027 2020-04-09
Find all providers with the same taxonomy

Competitor

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City LOVES PARK
Zip Code 61111

Improve Information

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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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