DR. BRIAN J JACOBS (NPI# 1730146218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730146218 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J JACOBS |
| Credential | M.D. |
| Practice Address |
1800 Hollister Dr Suite 111 Libertyville IL 60048-5263 |
| Practice Telephone | 8475739055 |
| Practice Fax Number | 8475731790 |
| Mailing Telephone | 8475739055 |
| Mailing Fax Number | 8475731790 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 36114383 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAIL ROAD MEDIARE | P00321248 | 01 |
| IL | 36114383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630668 | Brian Jacobs | Physical Therapist | 601 John St # 44, Kalamazoo, MI 49007-5341 | 2019-07-11 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| 1932202330 | Brian Coate Jacobs | Radiology | 1400 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| 1497779425 | Brian Paul Jacobs | Social Worker | 339 S Main St, Sebastopol, CA 95472-4208 | 2006-07-26 |
| 1194378935 | Brian Daniel Jacobs | Counselor | 1655 Fort Myer Dr Ste 820, Arlington, VA 22209-3106 | 2019-07-22 |
| 1871995373 | Brian Jacobs | Nurse Anesthetist, Certified Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-09-16 |
| 1184906125 | Brian Jacobs | Rehabilitation Practitioner | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2011-09-15 |
| 1669771341 | Brian Thomas Jacobs | Pharmacist | 4515 E Mount Morris Rd, Mount Morris, MI 48458-8737 | 2011-03-21 |
| 1316262215 | Brian P Jacobs | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2010-04-02 |
| 1588741060 | Brian Scott Jacobs | Internal Medicine | 9840 Westpoint Dr, Suite 400, Indianapolis, IN 46256-3360 | 2006-11-01 |
| Street Address |
1800 HOLLISTER DR SUITE 111 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862384 | Ronald Lee Freeman | Ophthalmology | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 | 2005-06-25 |
| 1679957518 | Dana Beth Cohen | Social Worker | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2015-07-09 |
| 1063833796 | Diane M Bailey Yoder | Counselor | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2013-12-24 |
| 1053755538 | Jenny M. Siddiqi | Psychologist | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 | 2013-04-26 |
| 1649583501 | Megan Claire Kawadza | Occupational Therapist | 1800 Hollister Dr, Ste 205, Libertyville, IL 60048-5263 | 2010-07-21 |
| 1417277930 | Erika Lynch | Physician Assistant | 1800 Hollister Dr, Ste 102, Libertyville, IL 60048-5263 | 2010-06-07 |
| 1669625406 | Marisa Maria Kunz | Psychologist | 1800 Hollister Dr, Libertyville, IL 60048-5263 | 2008-10-24 |
| 1720252323 | Elizabeth Ann Cole | Physical Therapist | 1800 Hollister Dr, 205, Libertyville, IL 60048-5263 | 2008-04-15 |
| 1033381140 | Gurnee Radiology Center, LLC | Radiology | 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 | 2008-03-28 |
| 1477749430 | Elizabeth K Baruffi | Physician Assistant | 1800 Hollister Dr, Suite 102, Libertyville, IL 60048-5263 | 2007-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376955880 | Hercules Logothetis | Ophthalmology | 1880 W Winchester Rd Ste 105, Libertyville, IL 60048-5321 | 2014-06-02 |
| 1720202013 | Joyce Muni, M.d. | Ophthalmology | 1860 W Winchester Rd Ste 105, Libertyville, IL 60048-5312 | 2007-04-11 |
| 1528097359 | Julie Beth Pearlman | Ophthalmology | 1800 Hollister Dr Ste 205, Libertyville, IL 60048 | 2006-07-02 |
| 1679549661 | Oksana Mensheha | Ophthalmology | 1117 S Milwaukee Ave, Forum Square A-10, Libertyville, IL 60048-3798 | 2006-02-28 |
| 1740281831 | Joyce Muni | Ophthalmology | 1860 W Winchester Rd, Suite 105, Libertyville, IL 60048-5312 | 2005-08-10 |
| 1508862384 | Ronald Lee Freeman | Ophthalmology | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 | 2005-06-25 |
| 1891348355 | Chicagoland Cataract and Lasik Sc | Ophthalmology | 1880 W Winchester Rd Ste 105, Libertyville, IL 60048-5321 | 2019-07-23 |
| 1558533539 | Ronald L Freeman, M.d., S.c. | Ophthalmology | 755 S Milwaukee Ave, Suite 150, Libertyville, IL 60048-3253 | 2008-03-30 |
| 1811191505 | Brittany Jill Osgood | Ophthalmology | 1880 W Winchester Rd, Ste 105, Libertyville, IL 60048-5341 | 2007-06-14 |
| 1669424974 | M.l. Savitt Inc | Ophthalmology | 1800 Hollister Dr, Suite 111, Libertyville, IL 60048-5263 | 2006-05-16 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.