Organization
ELGIN FOOT & ANKLE CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E JACOBY DPM (PRESIDENT)
(847) 741-3127
Entity
Organization
Contact information
Practice address
750 FLETCHER DR STE 300, ELGIN, IL 60123
(847) 741-3127
(847) 741-3173
Mailing address
750 FLETCHER DR STE 300, ELGIN, IL 60123-4703
(847) 741-3127
(847) 741-3173
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD0562
RAILROAD MEDICARE
IL
Enumeration date
09/25/2006
Last updated
07/16/2019
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