Organization
ELMHUST EMERGENCY MEDICAL SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED JACOBS MD (PRESIDENT)
(630) 833-1400
Entity
Organization
Contact information
Practice address
200 BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
PO BOX 92016, CHICAGO, IL 60675-2016
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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