DR. DANIEL RAYMOND JACOBSON


Address: 1413 W Lexington St, Chicago, IL 60607-4013
Phone: 3124211226

DR. DANIEL RAYMOND JACOBSON (NPI# 1447231063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447231063
Entity Type Individual
Full Name DR. DANIEL RAYMOND JACOBSON
Credential M.D.
Practice Address 1413 W Lexington St
Chicago
IL 60607-4013
Practice Telephone 3124211226
Practice Fax Number 3124211133
Mailing Telephone 3124211226
Mailing Fax Number 3124211133
Enumeration Date 2005-11-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice IL Allopathic & Osteopathic Physicians

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Office Location

Street Address 1413 W LEXINGTON ST
City CHICAGO
State IL
Zip Code 60607-4013

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992349237 Portia Dowd Registered Nurse 140 N Ashland, Chicago, IL 60607 2019-10-30
1114577210 Joseph Matthew Thiel Emergency Medical Technician, Intermediate 558 West De Koven, Chicago, IL 60607 2019-09-19
1215585757 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 1034 West Lake St, Chicago, IL 60607 2019-08-28
1003462821 Michael Marek Maka Psychologist 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 2019-08-16
1558922344 Kellie Meyer Speech-Language Pathologist Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 2019-06-24
1811460108 Corinna House Social Worker 932 W Washington, Chicago, IL 60607 2019-01-09
1962979518 Louise Taussig Bush Counselor 1142 West Madison Street, Suite 406, Chicago, IL 60607 2018-10-31
1568941318 Walgreen Co Durable Medical Equipment & Medical Supplies 1051 W Randolph, Chicago, IL 60607 2018-08-13
1851883425 Alefiyah Zulfiqar Pishori Psychologist 1200 West Harrison St, Chicago, IL 60607 2018-05-30
1679062954 Elizabeth R Rolston Physical Therapist 24 S Morgan St Ste 100, Chicago, IL 60607 2018-05-02
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1164067054 League Corp. General Practice 515 N State St Fl 8, Chicago, IL 60654-9102 2019-11-14
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1952809451 Josie M Abogast General Practice 3219 N. Clark St., Chicago, IL 60657 2018-01-30
1043759939 Royalty Intervention Group Inc General Practice 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 2017-02-13
1215482567 David John De Jong General Practice 226 W Willow St, Chicago, IL 60614-5716 2016-08-16
1720474885 Healthwise Medical Clinic LLC General Practice 8349 S Baltimore Ave, Chicago, IL 60617-2110 2015-04-15
1578952321 Joseph Lawrence Mcdevitt General Practice 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 2015-01-16
1548662851 Healthjoy General Practice 208 W Huron St, Chicago, IL 60654-3913 2014-09-17
1629478359 Alivio Medical Center General Practice 1450-1510 W. Cermak Road, Chicago, IL 60608 2014-08-29
1699193409 Kenya R Thomas General Practice 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 2014-03-31
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Competitor

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City CHICAGO
Zip Code 60607

Improve Information

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Dataset Information

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.

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