Individual
DR. CHAD E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST STE 550, PARK RIDGE, IL 60068-1188
(847) 384-1420
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036102397
IL
Other
Enumeration date
08/17/2006
Last updated
02/07/2025
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