Individual
JACOB DAVID ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1801 W TAYLOR STREET, SUITE 3C, LUNG HEALTH-PULMONOLOGY, CHICAGO, IL 60612-7232
(312) 996-3300
(312) 996-3896
Mailing address
1801 W TAYLOR STREET, SUITE 3C, LUNG HEALTH-PULMONOLOGY, CHICAGO, IL 60612-4325
(312) 996-3300
(585) 207-8349
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
036.166977
IL
Other
Enumeration date
03/23/2021
Last updated
05/21/2025
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