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Dr. Daniel Raymond Jacobson, MD
General Practice Physician in Chicago, Illinois
NPI 1447231063

Daniel Raymond Jacobson is a General Practice Physician based in Chicago, IL. Daniel Raymond Jacobson practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Daniel Raymond Jacobson is 1447231063 and holds a License No. 036075975 (Illinois).

The current practice location address for Daniel Raymond Jacobson is 1413 W Lexington St, Chicago, IL and can be reached out via phone at 312-421-1226 and via fax at 312-421-1133.

Location: 1413 W Lexington St, Chicago, IL, 60607-4013
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Provider Profile Details
NPI Number
1447231063
Provider Name
Daniel Raymond Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1413 W Lexington St, Chicago, IL, 60607-4013
Phone Number
312-421-1226
Fax Number
312-421-1133
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036075975 01 IL PHYSICIAN LICENSE
institution
Provider Business Practice Location Address Details
Address
1413 W Lexington St
City
State
Zip
60607-4013
Phone Number
312-421-1226
Fax Number
312-421-1133
person
Provider Business Mailing Address Details
Address
1413 W Lexington St
City
State
Zip
60607-4013
Phone Number
312-421-1226
Fax Number
312-421-1133
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036075975 (Illinois)
Definition
Definition to come...
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