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

Jeffrey Randall Jacobson, MD

Individual provider Pulmonary Disease Physician · NPI 1609937432

Jeffrey Randall Jacobson, MD is a Pulmonary Disease in Chicago, Illinois. Graduated from New York University School of Medicine in 1996, 30 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Trained at
New York University School of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
3
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

909 S Wolcott Avenue 3141 Comrb
Chicago, IL 60612-3725
Phone: (312) 996-8039
Fax: (312) 996-4665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036.114116 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036114116 (IL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036.114116 (IL)

Record details

NPI number1609937432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESMarch 4, 2010
Mailing address909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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