DR. JACOB W GREENSPAN (NPI# 1194725523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194725523 |
| Entity Type | Individual |
| Full Name | DR. JACOB W GREENSPAN |
| Credential | D.P.M. |
| Practice Address |
350 Oak Knoll Ter Northbrook IL 60062-1048 |
| Mailing Address |
Po Box 220 Matteson IL 60443-0220 |
| Practice Telephone | 8475629864 |
| Practice Fax Number | 8475629865 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016003364 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016003364 | 05 |
| Street Address |
350 OAK KNOLL TER |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104981422 | Affiliated Podiatrists of Illinois Ltd. | Podiatrist | 350 Oak Knoll Ter, Northbrook, IL 60062-1048 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336066 | Roger T Zeratsky | Podiatrist | 425 Huehl Rd # 13, Northbrook, IL 60062-2319 | 2006-08-22 |
| 1437195567 | Ryan James Jorgenson | Podiatrist | Preferred Podiatry Group, 425 Huehl Road #13, Northbrook, IL 60062 | 2006-06-20 |
| 1962443507 | Philip Lawrence Searby | Podiatrist | 425 Huehl. #13, Preferred Podiatry Group, Northbrook, IL 60062 | 2006-06-08 |
| 1487609947 | Ronald Nasadowski | Podiatrist | 425 Huehl Rd #13, Northbrook, IL 60062-2322 | 2006-05-23 |
| 1124089479 | Absolute Foot and Ankle Clinic Ltd | Podiatrist | 3546 N Milwaukee Ave, Northbrook, IL 60062 | 2006-03-28 |
| 1235120452 | Alan S. Rothstein | Podiatrist | 425 Huehl Rd Unit 13, Northbrook, IL 60062-2319 | 2005-11-04 |
| 1649267311 | John Christian Sorensen Jr. | Podiatrist | 425 Huehl Rd, Northbrook, IL 60062-2319 | 2005-09-28 |
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1760835854 | Sarah Kathleen Sweeney | Podiatrist | 425 Huehl Rd, Unit 13, Northbrook, IL 60062-2319 | 2016-07-13 |
| 1134576143 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on DR. JACOB W GREENSPAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.