Lidiya M Jacob
APRN, CNP | Nurse Practitioner | 7+ years Exp
12251 S 80th Ave, Palos Heights
Illinois, 60463-1290
630-257-1111
Lidiya M Jacob is a Palos Heights, Illinois based nurse practitioner with 7 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lidiya M Jacob is 209021213 in Illinois. Her current practice location is 12251 S 80th Ave, Palos Heights. Patients can reach her at 630-257-1111 or can fax her at 630-257-1115. Lidiya M Jacob is APRN, CNP and her NPI number (Unique professional ID assigned by NPPES) is 1689294258.
Lidiya M Jacob has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lidiya M Jacob speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lidiya M Jacob |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APRN, CNP |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12251 S 80th Ave, Palos Heights,
Illinois, 60463-1290 |
| Phone: | 630-257-1111 |
| Fax: | 630-257-1115 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0244620706 |
| Enrollment ID: | I20211124001677 |
| NPI Number: | 1689294258 |
| NPI Enumeration Date: | 23 Apr, 2020 |
| NPI Last Update On: | 30 Dec, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lidiya M Jacob are as mentioned below.
| License Number | Specialization | State | Status | |
| 209021213 | | Illinois | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lidiya M Jacob is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Central Dupage Physician Group (5890696231) | 1039 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lidiya M Jacob
12251 S 80th Ave,
Palos Heights, Illinois |
| Zip: | 60463-1290 |
| Phone Number: | 630-257-1111 |
| Fax Number: | 630-257-1115 |
Patients can reach Lidiya M Jacob at
12251 S 80th Ave, Palos Heights, Illinois or can
call to book an appointment on 630-257-1111.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.