Individual
DR. MICHAEL A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6456 W ARCHER AVE, CHICAGO, IL 60638-2537
(773) 229-8488
Mailing address
6456 W ARCHER AVE, CHICAGO, IL 60638-2537
(773) 229-8488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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