institution
W Jacobsen Dpm Professional Corporation
Foot & Ankle Surgery Podiatrist in Chicago, Illinois
NPI 1801060561

W Jacobsen Dpm Professional Corporation is a Foot & Ankle Surgery Podiatrist based in Chicago, IL and is specialized in Foot & Ankle Surgery. W Jacobsen Dpm Professional Corporation practices in Chicago, IL. The NPI Number for W Jacobsen Dpm Professional Corporation is 1801060561 and holds a License No. 016004485 (Illinois).

The current practice location address for W Jacobsen Dpm Professional Corporation is 1126 W Bryn Mawr Ave, Chicago, IL and can be reached out via phone at 773-561-7626 and via fax at 773-561-1111.

Location: 1126 W Bryn Mawr Ave, Chicago, IL, 60660-4410
institution
Provider Profile Details
NPI Number
1801060561
Provider Name
W Jacobsen Dpm Professional Corporation
Credential
Provider Entity Type
Organization
Address
1126 W Bryn Mawr Ave, Chicago, IL, 60660-4410
Phone Number
773-561-7626
Fax Number
773-561-1111
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1126 W Bryn Mawr Ave
City
State
Zip
60660-4410
Phone Number
773-561-7626
Fax Number
773-561-1111
person
Provider Business Mailing Address Details
Address
1126 W Bryn Mawr Ave
City
State
Zip
60660-4410
Phone Number
773-561-7626
Fax Number
773-561-1111
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004485 (Illinois)
Definition
Definition to come...
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