Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carolyn Jacob, MD

Individual provider Procedural Dermatology Physician · NPI 1265498083

Dr. Carolyn Jacob, MD is a Dermatology in Chicago, Illinois. Graduated from University College of Medicine in 1995, 31 years ago. Practices with Chicago Cosmetic Surgery and Dermatology SC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Trained at
University College of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

515 N State St Ste 900
Chicago, IL 60654
Phone: (312) 245-9965
Fax: (312) 245-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036102098 (IL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 036102098 (IL)

Record details

NPI number1265498083
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Chicago Cosmetic Surgery And Dermatology Sc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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