Individual
DR. JACOB FYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 W MADISON ST #4302, CHICAGO, IL 60661-2580
(727) 415-3993
Mailing address
727 W MADISON ST #4302, CHICAGO, IL 60661-4026
(727) 415-3993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.147275
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
04/09/2020
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