Jacobs, William R
Jacobs, William R is an individual health care provider with primary practice located at 2160 S First Ave Luh - North Ent., Rm. 7604, Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jacobs, William R can be contacted via phone (708) 216-8757.Contact Information
Primary practice address
2160 S First Ave Luh - North Ent., Rm. 7604
Maywood IL 60153
Phone: (708) 216-8757
Fax: (708) 216-1259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036049051 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036049051 | Illinois |
Profile Details
| NPI number | 1518036003 |
|---|---|
| LBN Legal business name | Jacobs, William R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Sep 18th, 2009 - about 15 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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