Individual
DR. CAROLYN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 N STATE ST STE 900, CHICAGO, IL 60654
(312) 245-9965
(312) 245-9964
Mailing address
515 N STATE ST STE 900, CHICAGO, IL 60654-9104
(312) 245-9965
(312) 245-9964
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036102098
IL
207NS0135X
Procedural Dermatology Physician
036102098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102098
—
IL
Enumeration date
04/21/2006
Last updated
02/05/2020
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