Individual
DR. NORMAN MICHAEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, ROOM 4806, CHICAGO, IL 60612-3714
(312) 864-4267
(312) 864-9022
Mailing address
750 N DEARBORN ST, SUITE 3207, CHICAGO, IL 60610-3854
(312) 787-0118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-048535
IL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
036-48535
IL
Other
Enumeration date
07/12/2006
Last updated
04/26/2021
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