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Dr. Ellen Jacobsen, MD
Specialist in Urbana, Illinois
NPI 1821092891

Ellen Jacobsen is a Specialist based in Urbana, IL. Ellen Jacobsen practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Ellen Jacobsen is 1821092891 and holds a License No. 036099003 (Illinois).

The current practice location address for Ellen Jacobsen is 407 W Springfield Ave, Urbana, IL and can be reached out via phone at 217-367-7546 and via fax at 217-367-2240.

Location: 407 W Springfield Ave, Urbana, IL, 61801-8809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821092891
Provider Name
Ellen Jacobsen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
407 W Springfield Ave, Urbana, IL, 61801-8809
Phone Number
217-367-7546
Fax Number
217-367-2240
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036099003 05 IL
institution
Provider Business Practice Location Address Details
Address
407 W Springfield Ave
City
Urbana
State
Illinois
Zip
61801-8809
Phone Number
217-367-7546
Fax Number
217-367-2240
person
Provider Business Mailing Address Details
Address
407 W Springfield Ave
City
Urbana
State
Illinois
Zip
61801-8809
Phone Number
217-367-7546
Fax Number
217-367-2240
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036099003 (Illinois)
Definition
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.
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