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Organization
DR BRIAN JACOBY LLC
Active
Organization
DR BRIAN JACOBY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JACOBY DC (OWNER)
18473387590
Entity
Organization
Contact information
Practice address
1360 N SANDBURG TERRACE, CHICAGO, IL 60610-2050
(312) 944-4653
(773) 337-9106
Mailing address
1735 N PAULINA ST, # 301, CHICAGO, IL 60622-1133
(184) 733-8759
(773) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011130
PHYSICIAN LICENSE
IL
Enumeration date
03/27/2012
Last updated
03/27/2012
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