Mr Jino Jacob, OT | |
259 E Erie St Ste 13-205, Chicago, IL 60611-2987 | |
(312) 695-8143 | |
(312) 472-4889 |
Full Name | Mr Jino Jacob |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 259 E Erie St Ste 13-205, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639349483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056006527 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletic And Therapeutic Institute Of Naperville, Llc | 8325014020 | 209 |
Provider Name | Northwestern Medical Faculty Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Mr Jino Jacob, OT 259 E Erie St Ste 13-205, Chicago, IL 60611-2987 Ph: (312) 695-8143 | Mr Jino Jacob, OT 259 E Erie St Ste 13-205, Chicago, IL 60611-2987 Ph: (312) 695-8143 |
Brittany Cindy Speron, BRITTANY SPERONMOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kimberly Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kaitlin Elizabeth Brunsvold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St., Chicago, IL 60614 Phone: 312-227-4000 | |
Mrs. Cathleen Conway Jensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, C100, Chicago, IL 60612 Phone: 312-996-3700 | |
Jesse Forest Langille, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 S Michigan Ave, Chicago, IL 60605 Phone: 312-431-0434 | |
Kathleen Needham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St, Chicago, IL 60614 Phone: 312-227-6974 | |
Justine Cabrera, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 W Irving Park Rd, Chicago, IL 60613 Phone: 773-687-9442 |