DR. MARK JACOBS (NPI# 1598101289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598101289 |
Entity Type | Individual |
Full Name | DR. MARK JACOBS |
Credential | PHARM D |
Practice Address |
736 Elm Winnetka IL 60093-2506 |
Mailing Address |
736 Elm St Winnetka IL 60093-2506 |
Practice Telephone | 8474460032 |
Practice Fax Number | 8474461574 |
Mailing Telephone | 8474460032 |
Mailing Fax Number | 8474461574 |
Enumeration Date | 2013-05-21 |
Last Update Date | 2013-05-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051034191 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
1346311560 | Mark S Jacobs | Dentist | 802 N Broadway, Melrose Park, IL 60160-3726 | 2006-11-10 |
1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
1679533186 | Mark Matthew Jacobs | Obstetrics & Gynecology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-03-27 |
1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
1124013883 | Mark D. Jacobs | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2005-09-19 |
1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
1073515201 | Mark A Jacobs | Obstetrics & Gynecology | 7580 Fannin St Ste 210, Houston, TX 77054-1939 | 2005-06-01 |
Street Address |
736 ELM |
City | WINNETKA |
State | IL |
Zip Code | 60093-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
Find all providers in zip 60093 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770757866 | Robin Ann Ogden | Pharmacist | 556 Winnetka Ave, Winnetka, IL 60093-4028 | 2008-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1740647767 | William Patrick Johnson Jr. | Pharmacist | 505 Jeffrey Pine Ct, O Fallon, IL 62269-2554 | 2016-01-21 |
1114382314 | Archariya Puangampai | Pharmacist | 4178 S Emerald Ave, Chicago, IL 60609-2645 | 2015-12-15 |
1285000992 | Dana Christine Losch | Pharmacist | 9000 W Golf Rd, Niles, IL 60714-5805 | 2015-08-17 |
1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
1033520705 | Donald Lellish | Pharmacist | 815 N. Randall Rd, Elgin, IL 60123 | 2014-05-15 |
1649680505 | Amanda E Gorman | Pharmacist | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2014-05-01 |
1346650231 | Chayani Pam Kaenkumchorn | Pharmacist | 11305 W Lincoln Hwy, Mokena, IL 60448-2070 | 2014-05-01 |
1245640242 | Allison Ostrander | Pharmacist | 7111 Cermak Rd, Berwyn, IL 60402-2145 | 2014-04-30 |
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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.