Individual
DR. JEFFREY D. ACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 N. OAK PARK AVENUE, CHICAGO, IL 60707-3392
(773) 385-5491
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-066460
IL
208600000X
Surgery Physician
036-066460
IL
Other
Enumeration date
08/22/2006
Last updated
04/30/2021
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