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DR. CARMEN Y JACOBY D.C
NPI 1154485316
Chiropractor in Saint Jacob, IL

Active since December 21, 2006Accepts Medicare Assignment
100 OLYVIA DR APT 3, SAINT JACOB, IL 62281(618) 927-6810 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 27, 2026, Jun 7, 2021, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Carmen Y Jacoby D.c NPPES

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

DR. CARMEN Y JACOBY D.C (NPI 1154485316) is an individual chiropractor in Saint Jacob, Illinois, licensed in Illinois (038007662) and active in the NPI registry since December 2006. She is a graduate of Logan College Of Chiropractic (1993).

NPPES Registry Identity

NPI1154485316
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARMEN Y JACOBYCredential: D.C
Location Address100 OLYVIA DR APT 3Saint Jacob, IL 62281-1570
Mailing Address100 Olyvia Dr Apt 3Saint Jacob, IL 62281-1570 · (618) 927-6810
Phone(618) 927-6810
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1993
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1154485316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 038007662✔ Licensed in IL · H32611068907
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
100 OLYVIA DR APT 3, Saint Jacob, IL 62281
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Other Names 1

Professional Name (2)Carmen Y Jacoby Dc

Other Identifiers 2

Other02807755IL · Bcbs Of Il
Other438191IL · Healthlink

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmen Y Jacoby D.c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658537071
PECOS Enrollment IDI20120730000198, I20260327000862

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 Carmen Jacoby's NPI number?

The NPI number for Carmen Jacoby is 1154485316. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Carmen Y Jacoby Dc.

Where is Carmen Jacoby located?

Carmen Jacoby practices at 100 Olyvia Dr Apt 3, Saint Jacob, IL 62281. The listed phone number is (618) 927-6810.

What is Carmen Jacoby's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Carmen Jacoby enrolled in Medicare?

Yes. Carmen Jacoby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carmen Jacoby was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.