Individual
FRED L. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
1165 PAYSPHERE CIR, CHICAGO, IL 60674-0011
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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