Individual
DR. JACOB H FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON, #1106, CHICAGO, IL 60612-3824
(312) 942-8729
Mailing address
1725 W HARRISON ST, #1106, CHICAGO, IL 60612-3824
(312) 942-7043
(312) 942-2380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031 047662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047662
—
IL
01
—
336013823
IL DEPT OF FU PROF
IL
Enumeration date
05/17/2006
Last updated
03/07/2023
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