Organization
JACOBSON MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAYMOND JACOBSON MD (PRESIDENT)
(312) 421-1226
Entity
Organization
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
(312) 421-1133
Mailing address
1413 W. LEXINGTON, CHICAGO, IL 60607-4013
(312) 421-1226
(312) 421-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-618125
IL
Other
Enumeration date
07/20/2006
Last updated
06/20/2008
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