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Individual

DR. BENJAMIN JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 N WESTMORELAND RD STE A, LAKE FOREST, IL 60045-1672
(847) 234-5600
Mailing address
700 N WESTMORELAND RD STE A, LAKE FOREST, IL 60045-1672
(847) 234-5600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.141223
IL
2084P0800X
Psychiatry Physician
MD15357
RI

Other

Enumeration date
06/26/2009
Last updated
07/15/2016
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