Individual
ALAN C JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6942
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036-112964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112964
—
IL
01
—
04515143
BCBS#
IL
Enumeration date
07/17/2006
Last updated
12/06/2024
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