Individual provider
DR. JACLYN KAY ANDERSON, DO, MS
CMS NPPES lists DR. JACLYN KAY ANDERSON as an individual provider record with NPI 1316974041. The current record reports a primary practice location in ABBOTT PARK, IL and primary taxonomy code 207RR0500X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location200 ABBOTT PARK RDDEPT. R4NE, BLDG. AP34-2ABBOTT PARK, IL 600646187
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207R00000XAdditional reported taxonomy207RR0500XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 27, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.