Jacoby, Jeffrey A

Jacoby, Jeffrey A is an individual health care provider with primary practice located at 2525 Kaneville Rd , Geneva IL 60134-2578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jacoby, Jeffrey A can be contacted via phone (630) 584-1400.

Contact Information

Primary practice address
2525 Kaneville Rd Geneva IL 60134-2578
Phone: (630) 584-1400
Fax: (630) 584-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 43449 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036148166 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43449 Colorado

Profile Details

NPI number 1659373751
LBN Legal business name Jacoby, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 10th, 2019 - about 5 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 1659373751 NPPES
Wisconsin MEDICAID 34876800

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