Individual
JACOB T WILENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1855 W TAYLOR ST, 2.50 EEI, MC 648, CHICAGO, IL 60612-7242
(312) 996-7030
(312) 413-8574
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-069554
IL
Other
Enumeration date
01/29/2007
Last updated
04/08/2009
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