Jeffrey Randall Jacobson in Chicago - Pulmonary Disease

Jeffrey Randall Jacobson - NPI 1609937432

Jeffrey Randall Jacobson is a Pulmonary Disease in Chicago, Illinois. Jeffrey Randall Jacobson practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Jeffrey Randall Jacobson is 1609937432. The last update date is 2010-03-04.

Jeffrey Randall Jacobson's current location address is 909 South Wolcott Avenue, Chicago, Illinois. You can contact this provider via phone number 3129968039 and fax number 3129964665. The mailing address for Jeffrey Randall Jacobson is 909 South Wolcott Avenue, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Randall Jacobson
Address 909 South Wolcott Avenue, Chicago, Illinois
Phone Number 3129968039
Fax Number 3129964665
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1609937432
Provider Enumeration Date 2006-12-13
Last Updated Date 2010-03-04

Provider Mailing Address Detail

Address 909 South Wolcott Avenue
City Chicago
State Illinois (IL)
Post Code 606123725
Phone Number 3129968039
Fax Number 3129964665

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 36114116
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36114116 IL --

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FAQs about Jeffrey Randall Jacobson

What is the Jeffrey Randall Jacobson's 1609937432?

The Jeffrey Randall Jacobson's NPI (National Provider Identifier) Number is 1609937432. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jeffrey Randall Jacobson located?

The Jeffrey Randall Jacobson is located at 909 South Wolcott Avenue, Chicago, IL 606123725.

What is the Jeffrey Randall Jacobson's specialty and taxonomy code?

The Jeffrey Randall Jacobson's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.

On what date was the 1609937432 assigned to Jeffrey Randall Jacobson?

The Jeffrey Randall Jacobson was issued its 1609937432 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jeffrey Randall Jacobson most recently updated or refreshed?

The details pertaining to the Jeffrey Randall Jacobson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-04.

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