DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MI'KEL JACOBS

MEDICARE: MI'KEL JACOBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianJ212-5570-5302IL

General Provider Information

NPI Number : 1093663148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MI'KEL JACOBS
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5540 W 111TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-5574
Country : US
Telephone Number : 708-634-0821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

Similar Medicare Providers

1194672717 — EZEKIELUS STARR III
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-634-0821
Practice Fax:
1841289527 — PHYLLIS N BONAMINIO MD
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-423-8440
Practice Fax: 708-658-2962
1124148739 — MEDICAL ALLIANCE FOR CORRECTIVE AND RECONSTRUCTIVE ORTHOPEDIC SURGERY
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-423-8440
Practice Fax: 708-658-2958
1023138633 — CHICAGO SOUTH ORTHOPEDICS, INC
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-423-8440
Practice Fax: 708-658-2958
1619181625 — MRS. SHARON D RASMUSSEN RN,RNFA
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-423-8440
Practice Fax: 708-423-6335
1487844429 — MR. MARC A. CECCHINI P.T.
Practice Location Address:
5540 W 111TH ST
OAK LAWN, IL
60453-5574
Practice Phone: 708-422-1311
Practice Fax: 708-422-1812

Directions to “ MI'KEL JACOBS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.