DR. PAUL WALTER JACOBS (NPI# 1154541993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154541993 |
| Entity Type | Individual |
| Full Name | DR. PAUL WALTER JACOBS |
| Credential | D.D.S., M.A.G.D. |
| Practice Address |
3633 W Lake Ave Suite 409 Glenview IL 60026-5805 |
| Practice Telephone | 8477299403 |
| Practice Fax Number | 8477299513 |
| Mailing Telephone | 8477299403 |
| Mailing Fax Number | 8477299513 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912248 | Paul A Jacobs | Orthopaedic Surgery | 4641 N Lake Dr, Milwaukee, WI 53211-1255 | 2008-08-25 |
| 1619136173 | Paul Jacobs | Psychologist | 1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502 | 2008-06-09 |
| 1619943347 | Paul C Jacobs | Optometrist | 7225 W Highway 71, Suite B, Austin, TX 78735-8350 | 2006-02-23 |
| 1255326500 | Paul Christopher Jacobs | Optometrist | 1001 N Beadle Dr, Suite 40, Carbondale, IL 62901-1018 | 2005-09-13 |
| 1841295243 | Paul Allen Jacobs | Obstetrics & Gynecology | 20 Medical Village Dr, Ste 302, Edgewood, KY 41017-5402 | 2005-06-14 |
| 1184149916 | Paul Jacobs | Case Manager/Care Coordinator | 520 Superior St, Port Huron, MI 48060-3838 | 2017-08-14 |
| 1376965020 | Paul Edward Jacobs | Physical Therapist | 3201 River Rd, Lewisburg, PA 17837-9255 | 2014-01-15 |
| 1659696979 | Paul Edward Jacobs | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2010-03-30 |
| 1326274820 | Paul Jerold Jacobs | Dentist | 429 S Lincoln Rd, Escanaba, MI 49829-1210 | 2009-06-10 |
| 1346328895 | Paul C Jacobs | Psychologist | 24255 W 13 Mile Rd, Suite 280, Bingham Farms, MI 48025-4320 | 2006-11-01 |
| Street Address |
3633 W LAKE AVE SUITE 409 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| 1821519083 | Jennifer Lynn Ernst | Counselor | 3633 W Lake Ave, Glenview, IL 60026-5805 | 2017-06-28 |
| 1487103354 | Drozdz Dental Services, Inc. | Clinic/Center | 3633 W Lake Ave, Suite 409, Glenview, IL 60026-5805 | 2016-10-03 |
| 1760840870 | Pediatric Consultation Center and Associates LLC | Clinical Neuropsychologist | 3633 W Lake Ave, Suite 406, Glenview, IL 60026-5805 | 2016-02-03 |
| 1720473275 | Kathryn Padula | Social Worker | 3633 W Lake Ave, Suite 306, Glenview, IL 60026-5805 | 2015-04-01 |
| 1497153951 | Independent Living Home Care, Inc | In Home Supportive Care | 3633 W Lake Ave, Ste Ll22b, Glenview, IL 60026-5805 | 2014-12-16 |
| 1467861005 | Andrea Gilman | Occupational Therapist | 3633 W Lake Ave, Suite 102d, Glenview, IL 60026-5805 | 2014-08-07 |
| 1487065132 | Megan Christine Williams | Counselor | 3633 W Lake Ave, Suite 305, Glenview, IL 60026-5805 | 2014-05-15 |
| 1871923474 | Advanced Care Health Services, Inc | Home Health | 3633 W Lake Ave, Glenview, IL 60026-5805 | 2013-11-18 |
| 1902243090 | Life Reset Solutions, P.C. | Clinic/Center | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564784 | Michael A Barth | Dentist | 1735 Wildberry Dr Unit A, Glenview, IL 60025-1741 | 2020-07-01 |
| 1548809858 | Pa Dental Incorporated | Dentist | 630 Milwaukee Ave Ste 130, Glenview, IL 60025-5655 | 2020-01-03 |
| 1871945246 | Arielle Wulfsohn | Dentist | 2348 Iroquois Dr, Glenview, IL 60026-1034 | 2016-07-08 |
| 1508271438 | Gavin Hayes Green | Dentist | 1001 Waukegan Rd, Glenview, IL 60025-3034 | 2014-06-30 |
| 1184048266 | Anna Organ | Dentist | 917 Tamer Ln, Glenview, IL 60025-3768 | 2014-02-11 |
| 1427498096 | Paulina Erdle | Dentist | 1775 Glenview Rd Ste 217, Glenview, IL 60025-2900 | 2013-06-27 |
| 1730424722 | Lawrence S Hochman | Dentist | 843 Laramie Ave, Glenview, IL 60025-3349 | 2012-12-03 |
| 1740413053 | Michael Richard Cholewa | Dentist | 230 Neva Ave, Glenview, IL 60025-5008 | 2009-09-02 |
| 1023255783 | Joung Eun Song | Dentist | 2640 Patriot Blvd Ste 230, Glenview, IL 60026-8075 | 2009-01-15 |
| 1003067737 | Robert J Hodur | Dentist | 1800 Glenview Rd, Glenview, IL 60025-2910 | 2008-09-30 |
| Find all providers in GLENVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.