Individual
JEFFREY A JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
(630) 584-1733
Mailing address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
(630) 584-1733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
43449
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036148166
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
43449
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34876800
—
WI
Enumeration date
08/10/2005
Last updated
04/10/2019
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