Organization · Type 2 NPI
W Jacobsen DPM Professional Corporation
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1801060561
Active
Practice location
1126 W Bryn Mawr Ave
Chicago, IL 60660-4410
Fax (773) 561-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016004485 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1801060561
W Jacobsen DPM Professional Corporation's National Provider Identifier is 1801060561, issued on Apr 14, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Nov 9, 2010.