Walter Jacobsen is a Podiatrist in Chicago, Illinois. Walter Jacobsen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Walter Jacobsen is 1558352096. The last update date is 2007-07-08.
Walter Jacobsen's current location address is 1111 W Bryn Mawr Ave, Chicago, Illinois. You can contact this provider via phone number 7735617627 and fax number 7735611111. The mailing address for Walter Jacobsen is 1111 W Bryn Mawr Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Jacobsen |
|---|---|
| Address | 1111 W Bryn Mawr Ave, Chicago, Illinois |
| Phone Number | 7735617627 |
| Fax Number | 7735611111 |
| Sole Proprietor | X |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1558352096 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 W Bryn Mawr Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606604401 |
| Phone Number | 7735617627 |
| Fax Number | 7735611111 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identification code assigned to Walter Jacobsen by the Centers for Medicare & Medicaid Services?
The Walter Jacobsen has been issued the NPI (National Provider Identifier) 1558352096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Walter Jacobsen located?
The Walter Jacobsen is located at 1111 W Bryn Mawr Ave, Chicago, IL 606604401.
What is the Walter Jacobsen's specialty and taxonomy code?
The Walter Jacobsen's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When was the Walter Jacobsen's 1558352096 issued?
The Walter Jacobsen's 1558352096 was issued on 2005-11-03.
When was the information related to Walter Jacobsen most recently updated or refreshed?
The details pertaining to the Walter Jacobsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902899347
Address: 14620 John Humphrey Dr, Orland Park, IL