Individual provider · Type 1 NPI
Ellen Jacobsen, MD
Specialist · Urbana, IL
NPI number
1821092891
Active
Practice location
407 W Springfield Ave
Urbana, IL 61801-8809
Fax (217) 367-2240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036099003 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1821092891
Ellen Jacobsen, MD's National Provider Identifier is 1821092891, issued on Jun 8, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Urbana, IL. The record was last updated on Jul 8, 2007.