SHEBY ELSA JACOB NP NPI 1407535826

NPI Information

  • NPI: 1407535826
  • Provider Name: SHEBY ELSA JACOB, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1715 E 95TH ST
    CHICAGO, IL
    ZIP 60617
  • Phone: (773) 977-7256

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NPI Details

Sheby Elsa Jacob, NP is a family nurse practitioner in Chicago, IL with 4 years of experience. Sheby Elsa Jacob, NP NPI is 1407535826. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1715 E 95TH ST
CHICAGO, IL
ZIP 60617-708
Phone: (773) 977-7256

The NPI 1407535826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2023 and was last updated on 11/30/2023.

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
1363L00000XNurse Practitioner041.545102ILLINOISNo
2363LF0000XNurse PractitionerFamily209.027902ILLINOISYes

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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