Individual
MR. JACOB VALABOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
737 HUNTER DR, MOUNT PLEASANT, WI 53406-4067
(847) 504-5000
(847) 504-5015
Mailing address
PO BOX 917, NORTHBROOK, IL 60065-0917
(847) 504-5000
(847) 504-5015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1006
MN
213E00000X
Podiatrist
1082-25
WI
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1082-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487051371
—
WI
01
—
P01683970
RAILROAD MEDICARE
WI
Enumeration date
11/21/2014
Last updated
04/21/2025
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