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JACOB JOSE
NPI 1114852324
Registered Nurse in Waukegan, IL

Active since June 17, 2026
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8200 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Jose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JOSE (NPI 1114852324) is an individual registered nurse in Waukegan, Illinois, licensed in Illinois (041527435) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1114852324
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJACOB JOSE
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8200
Phone(847) 377-8200
Sole ProprietorNo
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1114852324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041527435
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
3002 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATHENA RATILLA
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
OLIVER JADEN SANCHEZ MHP, EMT
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JONI GEER SELL
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
SUNITA GROVER
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KATHERINE BERGSTROM MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
MICHAEL SWEENEY
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
ANGIE STEFANI
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8246
MARIAM SALEH
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 237-7164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Jose's NPI number?

The NPI number for Jacob Jose is 1114852324. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Jacob Jose located?

Jacob Jose practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8200.

What is Jacob Jose's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jacob Jose was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.