Organization
BENJAMIN LEE JACOBSON MD LLC
Active
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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