Individual
JACOB PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
(217) 383-9694
Mailing address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36.004056
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016006027
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
02/28/2024
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