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Individual

SCOTT JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 247-4000
(847) 234-2090
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005031
IL

Other

Enumeration date
07/03/2006
Last updated
02/16/2017
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