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

Jacob Fries

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063306694

Jacob Fries is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

600 S Paulina St
Chicago, IL 60612-3806
Phone: (312) 942-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 125085753 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1063306694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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