Greenspan, Jacob W

Greenspan, Jacob W is an sole proprietor health care provider with primary practice located at 350 Oak Knoll Ter , Northbrook IL 60062-1048. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Greenspan, Jacob W can be contacted via phone (847) 562-9864.

Contact Information

Primary practice address
350 Oak Knoll Ter Northbrook IL 60062-1048
Phone: (847) 562-9864
Fax: (847) 562-9865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003364 Illinois

Profile Details

NPI number 1194725523
LBN Legal business name Greenspan, Jacob W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Nov 25th, 2009 - about 16 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 1194725523 NPPES
Illinois MEDICAID 016003364

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