# DR. JEFFREY D. ACKMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417063389
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036-066460 | IL | Yes |
| 208600000X | Surgery Physician | 036-066460 | IL | — |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 04/30/2021