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

Jakov Tiefenbach, MBCHB

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053161992

Jakov Tiefenbach, MBCHB is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

820 S Wood St Ste 100
Chicago, IL 60612-4325
Phone: (312) 996-2933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 125.084057 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053161992
Entity typeIndividual (Type 1)
GenderMale
Credentials MBCHB
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESOctober 27, 2024
Certification dateOctober 27, 2024
Mailing address820 S Wood St Ste 100, Chicago, IL 60612-4325

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