Chad E Jacobs MD

NPI 1801909213 - Surgery - 2086S0129X

NPI Details
NPI 1801909213
Gender Male
Enumeration Date 08/17/2006
Last Updated 02/29/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1875 W DEMPSTER ST
SUITE 580
PARK RIDGE IL, 60068-1186, US
Phone (847) 384-1420
Fax (847) 318-9332
Business Location
7337 N FRANCISCO AVE
CHICAGO IL, 60645-1203, US
Phone (773) 381-4016
Fax
Toxanomy
Taxonomy Code 2086S0129X
License State Illinois
License Number 036102397
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According to our database, Dr. Chad E Jacobs MD NPI is 1801909213, taxonomy code is 2086S0129X and license number is 036102397, license state is located at Illinois. Chad E Jacobs MD physically located at 1875 W Dempster St, Park Ridge IL, 60068-1186. NPI Number Chad E Jacobs MD has the Individual type.

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1801909213 NPI number is provided on an as is basis without warranty of any kind. 1801909213 is maintained by the National Plan & Provider Enumeration System. The contents of Chad E Jacobs MD are for informational purposes only.