Walter Jacobsen DPM

NPI 1558352096 - Podiatrist - 213E00000X

NPI Details
NPI 1558352096
Gender Male
Enumeration Date 11/03/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1111 W BRYN MAWR AVE
CHICAGO IL, 60660-4401, US
Phone (773) 561-7627
Fax (773) 561-1111
Business Location
1111 W BRYN MAWR AVE
CHICAGO IL, 60660-4401, US
Phone (773) 561-7627
Fax (773) 561-1111
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Dr. Walter Jacobsen DPM NPI is 1558352096, taxonomy code is 213E00000X Walter Jacobsen DPM physically located at 1111 W Bryn Mawr Ave, Chicago IL, 60660-4401. NPI Number Walter Jacobsen DPM has the Individual type.

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1558352096 NPI number is provided on an as is basis without warranty of any kind. 1558352096 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Jacobsen DPM are for informational purposes only.