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Mr. Kevin Chacko Jacob, MD
Orthopedic Surgery Physician in Chicago, Illinois
NPI 1811643828

Kevin Chacko Jacob is a Orthopedic Surgery Physician based in Peoria, IL. Kevin Chacko Jacob practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Kevin Chacko Jacob is 1811643828 and holds a License No. (Illinois).

The current practice location address for Kevin Chacko Jacob is 1740 W Taylor St, Chicago, IL and can be reached out via phone at 312-996-2450.

Location: 1740 W Taylor St, Chicago, IL, 61615-8911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811643828
Provider Name
Kevin Chacko Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1740 W Taylor St, Chicago, IL, 61615-8911
Phone Number
312-996-2450
Fax Number
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1740 W Taylor St
City
Chicago
State
Illinois
Zip
60612-7232
Phone Number
312-996-2450
Fax Number
person
Provider Business Mailing Address Details
Address
1740 W Taylor St
City
Chicago
State
Illinois
Zip
60612-7232
Phone Number
312-996-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
125081853 (Illinois)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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