Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Ancy Chakkalakal Jacob, FNP-C

Individual provider Family Nurse Practitioner · NPI 1457779639

Mrs. Ancy Chakkalakal Jacob, FNP-C is a Nurse Practitioner in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (312) 864-4395
Fax: (312) 864-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.011429 (IL)
Hospice Registered Nurse Taxonomy 163WH1000X · Licence 041-306342 (IL)

Record details

NPI number1457779639
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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