| NPI | 1417124769 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-05-14 |
| Last Updated | 2025-12-19 |
| Mailing Address | 111 S Pfingsten Rd Ste 300 Deerfield, IL 60015-4981 United States Phone: (847) 597-1980 | Fax: (847) 974-3544 📍 View Map |
| Primary Practice Address | 111 S Pfingsten Rd Ste 300 Deerfield, IL 60015-4981 United States Phone: (847) 597-1980 | Fax: (833) 974-3544 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | IN | 02003580A |
| Yes | 207Q00000X – Family Medicine | IL | 036123684 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1417124769
Brian Jacover D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417124769. The primary specialty listed is Family Medicine. The provider is located in Deerfield, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-05-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417124769?
NPI 1417124769 belongs to Brian Jacover D.O., a Family Medicine in Deerfield, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417124769 active?
The current status of NPI 1417124769 in the NPPES registry is Active. The record was last updated on 2025-12-19.
What specialty is NPI 1417124769?
NPI 1417124769 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417124769?
You can verify NPI 1417124769 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417124769?
The primary practice address on file for NPI 1417124769 is 111 S Pfingsten Rd Ste 300, Deerfield, IL 60015-4981. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417124769 issued?
NPI 1417124769 was first issued (enumerated) on 2008-05-14. The NPPES record was last updated on 2025-12-19.
Practice Location Map
Brian Jacover is located at 111 S Pfingsten Rd Ste 300, Deerfield, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brian Jacover. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417124769. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 02003580A | IN |
| Family Medicine | 036123684 | IL |