Individual
JACOB M NIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 E HURON ST STE 1-200, NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
240 E HURON ST STE 1-200, NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, CHICAGO, IL 60611-2909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036170547
IL
207L00000X
Anesthesiology Physician
Primary
125.075479
IL
390200000X
Student in an Organized Health Care Education/Training Program
091610544
CO
Other
Enumeration date
08/29/2016
Last updated
06/06/2025
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