Individual
DR. LAURENCE A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 PATRIOT BLVD STE 100, GLENVIEW, IL 60026-8022
(847) 729-2188
Mailing address
2555 PATRIOT BLVD STE 200, GLENVIEW, IL 60026-8022
(847) 729-2188
(847) 729-7496
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
036-054440
IL
Other
Enumeration date
02/14/2007
Last updated
07/08/2019
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