Individual
DR. JASCHA OSCAR TEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(585) 703-6774
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(585) 703-6774
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
007336
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
135.001087
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2020
Last updated
01/26/2026
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