Jacoby, Kenneth E

Jacoby, Kenneth E is an individual health care provider with primary practice located at 750 Fletcher Dr Suite 300, Elgin IL 60123-4703. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jacoby, Kenneth E can be contacted via phone (847) 741-3127.

Contact Information

Primary practice address
750 Fletcher Dr Suite 300 Elgin IL 60123-4703
Phone: (847) 741-3127
Fax: (847) 741-3173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X Illinois

Profile Details

NPI number 1821199910
LBN Legal business name Jacoby, Kenneth E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821199910 NPPES
Illinois Other 04532255 BCBS
Illinois Other P00206050 BCBS
Illinois Other 5432480001 BCBS

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