DR. JACLYN KAY ANDERSON DO MS NPI 1316974041

NPI Information

NPI: 1316974041
Provider Name: DR. JACLYN KAY ANDERSON, DO, MS
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

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

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
1	207RR0500X	Internal Medicine	Rheumatology	5874	NEBRASKA	No
2	207R00000X	Internal Medicine		3715	IOWA	No
3	207RR0500X	Internal Medicine	Rheumatology	036.125386	ILLINOIS	Yes

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
1	I60749	MEDICARE UPIN
2	26707	OTHER	IOWA	WELLMARK BCBS
3	0727701	MEDICAID	IOWA
4	I18313	MEDICARE PIN	IOWA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »