DR. JACLYN KAY ANDERSON DO MS NPI 1316974041

NPI Information

  • NPI: 1316974041
  • Provider Name: DR. JACLYN KAY ANDERSON, DO, MS
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • Address: 200 ABBOTT PARK RD
    DEPT. R4NE, BLDG. AP34-2
    ABBOTT PARK, IL
    ZIP 60064
  • Phone: (847) 938-0133

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NPI Details

DR. Jaclyn Kay Anderson, DO, MS is a rheumatology internal medicine in Abbott Park, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Jaclyn Kay Anderson, DO, MS NPI is 1316974041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 ABBOTT PARK RD
DEPT. R4NE, BLDG. AP34-2
ABBOTT PARK, IL
ZIP 60064-187
Phone: (847) 938-0133

The enumeration date for this NPI number is 6/27/2006 and was last updated on 10/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatology5874NEBRASKANo
2207R00000XInternal Medicine3715IOWANo
3207RR0500XInternal MedicineRheumatology036.125386ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I60749MEDICARE UPIN
226707OTHERIOWAWELLMARK BCBS
30727701MEDICAIDIOWA
4I18313MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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