Thorud, Jakob Christopher

Thorud, Jakob Christopher is an individual health care provider with primary practice located at 3922 Mercy Dr , Mchenry IL 60050-3179. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Thorud, Jakob Christopher can be contacted via phone (815) 578-2020.

Contact Information

Primary practice address
3922 Mercy Dr Mchenry IL 60050-3179
Phone: (815) 578-2020
Fax: (815) 344-3241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X T28-2011 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-005694 Illinois

Profile Details

NPI number 1174818272
LBN Legal business name Thorud, Jakob Christopher
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Aug 24th, 2023 - about last year

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 1174818272 NPPES
Wisconsin MEDICAID 1174818272
Wisconsin Other 1174818272
Wisconsin Other THORUJAK

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