Organization
BENJAMIN LEE JACOBSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ALENCIKS (DIRECTOR OF PSYCH OPS)
(630) 363-2044
Entity
Organization
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(773) 266-6681
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(773) 266-6681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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