DR. JACOB BERNARD MATRILLE D.C.
NPI 1891053534
Chiropractor in Chicago, IL

Q: What is Jacob Matrille's NPI number?

The NPI number for Jacob Matrille is 1891053534. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Q: What is Jacob Matrille's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Matrille was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 01, 2012Accepts Medicare Assignment

2909 W ADDISON ST, CHICAGO, IL 60618(773) 273-2901 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jacob Bernard Matrille D.c. NPPES

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

DR. JACOB BERNARD MATRILLE D.C. (NPI 1891053534) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038.012149) and active in the NPI registry since May 2012. He maintains a secondary practice location in Evanston and is a graduate of Palmer College Chiropractic - Davenport (2011).

NPPES Registry Identity

NPI1891053534

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JACOB BERNARD MATRILLECredential: D.C.

Location Address2909 W ADDISON STChicago, IL 60618-4635

Mailing Address2625 Butterfield Rd, Ste 301nOak Brook, IL 60523-1234 · (630) 320-6400 · Fax (630) 701-1007

Phone(773) 273-2901

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2011

Enumeration DateMay 1, 2012

Last NPPES UpdateSeptember 18, 2018

✔ NPI 1891053534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.012149

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.

2909 W ADDISON ST, Chicago, IL 60618

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Secondary Practice Location 1

Location 11954 Dempster StEvanston, IL 60202-1016 · Phone (847) 475-4545 · Fax (847) 475-1371

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Bernard Matrille 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 ID4284899337

PECOS Enrollment IDI20120622000557

Medicare Billing Reassignment

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

Chiro One Wellness Center Metro Of West Addison LLC

Same address

Chiropractor

2909 W ADDISON ST
Chicago, IL 60618

Reassigned Medicare billing, Illinois enrollment

NPI 1568959401 (630) 468-1824

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

Other Providers at the Same Location NPPES

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

CHIRO ONE WELLNESS CENTER METRO OF WEST ADDISON LLC

Chiropractor

2909 W ADDISON ST
CHICAGO, IL 60618

Cook County (630) 468-1824

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 Matrille's NPI number?

The NPI number for Jacob Matrille is 1891053534. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Jacob Matrille located?

Jacob Matrille practices at 2909 W Addison St, Chicago, IL 60618. The listed phone number is (773) 273-2901.

What is Jacob Matrille's specialty?

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

Is Jacob Matrille enrolled in Medicare?

Yes. Jacob Matrille 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.

Which organization bills Medicare for Jacob Matrille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Matrille reassigns Medicare benefits to Chiro One Wellness Center Metro Of West Addison LLC (Chicago, 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 Matrille'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 Matrille was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.