Jacobs, Joshua J.

Jacobs, Joshua J. is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Jacobs, Joshua J. can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-3841
Fax: (312) 942-1517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036074410 Illinois

Profile Details

NPI number 1902885841
LBN Legal business name Jacobs, Joshua J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 18th, 2018 - about 6 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 1902885841 NPPES
Illinois Other DA4902 RR MEDICARE PTAN#
Illinois Other 207073 RR MEDICARE PTAN#
Illinois Other P00094334 RR MEDICARE PTAN#
Illinois Other 207067 RR MEDICARE PTAN#
Illinois Other 4122842 RR MEDICARE PTAN#
Illinois MEDICAID 036074410 4 RR MEDICARE PTAN#
Illinois Other 1633878 RR MEDICARE PTAN#

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