DEBORAH LYNN JACOBSON (NPI# 1205126257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205126257 |
| Entity Type | Individual |
| Full Name | DEBORAH LYNN JACOBSON |
| Credential | MD |
| Practice Address |
225 E Chicago Ave Chicago IL 60611-2991 |
| Mailing Address |
225 E Chicago Ave # 24 Chicago IL 60611-2991 |
| Practice Telephone | 6154952828 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
M-14378 | ID | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
10687955-8905 | UT | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
036.140152 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Vanderbilt University Medical Center Office, 201 Light Hall, Nashville, TN 372320001 | 6153224916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558519512 | Deborah K Jacobson | Speech-Language Pathologist | 513 Sweetbriar Ln, Watertown, WI 53098-1207 | 2008-09-03 |
| 1073710935 | Deborah Jacobson | Psychologist | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-02 |
| 1932205259 | Deborah Lee Jacobson | Family Medicine | 9331 S Colorado Blvd, Suite 200, Highlands Ranch, CO 80126-7467 | 2006-09-15 |
| Street Address |
225 E CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779734 | Martha Cotsen Saker | Radiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-06 |
| 1356942239 | Sara Mancuso | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-11-05 |
| 1912514423 | Emily May Wilson | Audiologist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-29 |
| 1780291617 | Loretta Lavigne | Social Worker | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-24 |
| 1275149312 | Abigail Hadley | Registered Nurse | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-22 |
| 1326653866 | Lauren Spradling | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-11 |
| 1629682232 | Agnes Kim | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 | |
| 1861006405 | Samantha A Grooss | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1255945838 | Patrice H. Swiontek | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1205440088 | Lisa Sharda | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578752739 | Kids Urology. S.c. | Urology | 2300 N Childrens Plz # 24, Chicago, IL 60614-3363 | 2007-10-23 |
| 1093892143 | John Houston | Urology | 2308 N Lincoln Ave, Chicago, IL 60614-3676 | 2006-11-01 |
| 1457675233 | Edward Ming-luan Gong | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2010-03-23 |
| 1558518761 | Jennifer Mickelson | Urology | 2300 N Childrens Plz # 24, Division of Urology - Childrens Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-19 |
| 1891962148 | David I-wang Chu | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2008-05-14 |
| 1790968147 | Mohan Saheb Gundeti | Urology | 5841 S Maryland Ave, Mc 6038, Chicago, IL 60637-1447 | 2007-12-07 |
| 1366568784 | Emilie Johnson | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2007-03-21 |
| 1710973763 | Elizabeth Yerkes | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528109006 | Associated Urological Specialists LLC | Urology | 16632 107th St, Orland Park, IL 60467-8898 | 2007-02-09 |
| 1326189895 | Associated Urological Specialists | Urology | 4440 W 95th St Ste 109-112, Oak Lawn, IL 60453-2600 | 2007-02-09 |
| 1518983998 | Pediatric Urology Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2006-07-15 |
| 1841844917 | Blair Mack | Urology | 1775 Dempster St, Park Ridge, IL 60068-1174 | 2019-07-28 |
| 1316193824 | Derek John Matoka | Urology | 2160 S 1st Ave, Building 54, Maywood, IL 60153-3328 | 2008-08-15 |
| 1437311479 | Children's Urology Health Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2008-07-01 |
| 1114952256 | L. Suzanne Flom | Urology | 8901 Golf Rd, Suite 301, Des Plaines, IL 60016-6850 | 2006-07-11 |
| 1447200357 | Ranjiv Ignatius Mathews | Urology | 301 N 8th St, Suite Pav 4b, Springfield, IL 62701-1041 | 2006-05-11 |
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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.