Individual
MICHAEL S JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 LUTHER LN STE 2200, PARK RIDGE, IL 60068-1270
(847) 268-8200
(847) 318-2905
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072139
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.156023
IL
Other
Enumeration date
06/12/2018
Last updated
09/15/2025
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