Jacobs, Brian J

Jacobs, Brian J is an individual health care provider with primary practice located at 1800 Hollister Dr Suite 111, Libertyville IL 60048-5263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacobs, Brian J can be contacted via phone (847) 573-9055.

Contact Information

Primary practice address
1800 Hollister Dr Suite 111 Libertyville IL 60048-5263
Phone: (847) 573-9055
Fax: (847) 573-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36114383 Illinois

Profile Details

NPI number 1730146218
LBN Legal business name Jacobs, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 28th, 2024 - about 8 months 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 1730146218 NPPES
Illinois MEDICAID 36114383
Illinois Other P00321248

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