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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB HENDRICKSON PARAMEDIC
NPI 1124932991
Emergency Medical Technician, Paramedic in Belvidere, IL

Active since September 29, 2026
123 S STATE ST, BELVIDERE, IL 61008(815) 520-8687 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob Hendrickson Paramedic NPPES

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

JACOB HENDRICKSON PARAMEDIC (NPI 1124932991) is an individual emergency medical technician, paramedic in Belvidere, Illinois, licensed in Illinois (060629847) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1124932991
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameJACOB HENDRICKSONCredential: PARAMEDIC
Location Address123 S STATE STBelvidere, IL 61008-3628
Mailing Address403 Bree DrPoplar Grove, IL 61065-8307 · (815) 520-8687
Phone(815) 520-8687
Sole ProprietorNo
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1124932991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in IL · 060629847
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
123 S STATE ST, Belvidere, IL 61008
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Other Providers at the Same Location NPPES

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

CITY OF BELVIDERE
Ambulance (Land Transport)
123 S STATE ST
BELVIDERE, IL 61008
Boone County (815) 544-2242

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 Hendrickson's NPI number?

The NPI number for Jacob Hendrickson is 1124932991. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Jacob Hendrickson located?

Jacob Hendrickson practices at 123 S State St, Belvidere, IL 61008. The listed phone number is (815) 520-8687.

What is Jacob Hendrickson's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Jacob Hendrickson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.