Individual
DR. WALTER JACOBSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1111 W BRYN MAWR AVE, CHICAGO, IL 60660-4401
(773) 561-7627
(773) 561-1111
Mailing address
1111 W BRYN MAWR AVE, CHICAGO, IL 60660-4401
(773) 561-7627
(773) 561-1111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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