Fox, Jacob H

Fox, Jacob H is an individual health care provider with primary practice located at 1725 W Harrison #1106, Chicago IL 60612-3824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fox, Jacob H can be contacted via phone (312) 942-8729.

Contact Information

Primary practice address
1725 W Harrison #1106 Chicago IL 60612-3824
Phone: (312) 942-8729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 031 047662 Illinois

Profile Details

NPI number 1841242716
LBN Legal business name Fox, Jacob H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841242716 NPPES
Illinois MEDICAID 036047662
Illinois Other 336013823

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