W Jacobsen DPM Professional Corporation
W Jacobsen DPM Professional Corporation is a Foot & Ankle Surgery Podiatrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1126 W Bryn Mawr AveChicago, IL 60660-4410
Phone: (773) 561-7626
Fax: (773) 561-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 016004485 (IL) |
|---|
Record details
| NPI number | 1801060561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Jacobsen — President · (773) 561-7626 |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | November 9, 2010 |
| Mailing address | 1126 W Bryn Mawr Ave, Chicago, IL 60660-4410 |
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