Jacobson, Daniel Raymond

Jacobson, Daniel Raymond is an individual health care provider with primary practice located at 1413 W Lexington St , Chicago IL 60607-4013. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Jacobson, Daniel Raymond can be contacted via phone (312) 421-1226.

Contact Information

Primary practice address
1413 W Lexington St Chicago IL 60607-4013
Phone: (312) 421-1226
Fax: (312) 421-1133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036075975 Illinois

Profile Details

NPI number 1447231063
LBN Legal business name Jacobson, Daniel Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 16th, 2020 - about 4 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 1447231063 NPPES
Illinois Other 036075975 PHYSICIAN LICENSE

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