Individual
MR. JACOB D BITRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LUTHER LN, PARK RIDGE, IL 60068-1270
(847) 268-8200
(847) 410-0051
Mailing address
1700 LUTHER LN STE 2200, PARK RIDGE, IL 60068-1270
(847) 268-8200
(847) 318-2905
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036045731
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045531
—
IL
01
—
L79357
PIN
IL
Enumeration date
03/23/2006
Last updated
12/15/2021
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