Individual
MICHAEL G. JAKOBY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, STE 2300, SPRINGFIELD, IL 62702-4968
(217) 545-3821
(217) 545-9125
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-3821
(217) 545-9125
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-106808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
07/07/2006
Last updated
11/17/2020
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