1. Home
  2. Directory
  3. Illinois
  4. Westchester
  5. Chiropractor
  6. NPI Profile

JACOB LOMBARDI MAMMOSSER DC
NPI 1306552559
Chiropractor in Westchester, IL

Active since January 30, 2023
3070 WOLF RD, WESTCHESTER, IL 60154(708) 223-8494(708) 731-3908 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Lombardi Mammosser Dc NPPES

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

JACOB LOMBARDI MAMMOSSER DC (NPI 1306552559) is an individual chiropractor in Westchester, Illinois, licensed in Illinois (038.013958) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1306552559
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB LOMBARDI MAMMOSSERCredential: DC
Location Address3070 WOLF RDWestchester, IL 60154-5622
Mailing Address3070 Wolf RdWestchester, IL 60154-5622 · (708) 223-8494
Phone(708) 223-8494
Fax(708) 731-3908
Sole ProprietorYes
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1306552559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.013958
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.
3070 WOLF RD, Westchester, IL 60154
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Lombardi Mammosser Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jacob Mammosser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Petrak Family Chiropractic Center S.C
0.2 mi
Chiropractor
3070 SOUTH WOLF RD
Westchester, IL 60154
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Petrak Family Chiropractic Center Sc
  • 3 clinicians in this Medicare group
NPI 1841661774 (630) 853-9971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mammosser's NPI number?

The NPI number for Jacob Mammosser is 1306552559. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Jacob Mammosser located?

Jacob Mammosser practices at 3070 Wolf Rd, Westchester, IL 60154. The listed phone number is (708) 223-8494.

What is Jacob Mammosser's specialty?

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

Is Jacob Mammosser enrolled in Medicare?

Yes. Jacob Mammosser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Mammosser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mammosser reassigns Medicare benefits to Petrak Family Chiropractic Center S.C (Westchester, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Mammosser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Mammosser was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.