DR. MARK S JACOBS (NPI# 1346311560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346311560 |
| Entity Type | Individual |
| Full Name | DR. MARK S JACOBS |
| Credential | DDS |
| Practice Address |
802 N Broadway Melrose Park IL 60160-3726 |
| Practice Telephone | 7083457638 |
| Mailing Telephone | 7083457638 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-017628 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| 1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
| 1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1679533186 | Mark Matthew Jacobs | Obstetrics & Gynecology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-03-27 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1124013883 | Mark D. Jacobs | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2005-09-19 |
| 1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| 1073515201 | Mark A Jacobs | Obstetrics & Gynecology | 7580 Fannin St Ste 210, Houston, TX 77054-1939 | 2005-06-01 |
| Street Address |
802 N BROADWAY |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578058244 | Paige Poisson | Dentist | 1812 N 19th Ave, Melrose Park, IL 60160-2039 | 2018-06-26 |
| 1316110380 | Terrence P. Looby, D.d.s. | Dentist | 1800 W Lake St, Melrose Park, IL 60160-3732 | 2008-04-10 |
| 1326191651 | Albert Michael Castellan | Dentist | 818 N 19th Ave, Melrose Park, IL 60160-3726 | 2007-01-19 |
| 1073684189 | Steven A Bobbe | Dentist | 1509 W North Ave, Melrose Park, IL 60160-1316 | 2006-11-11 |
| 1992811236 | Gregory Joan Gazda | Dentist | 1440 West North Avenue, Suite 204, Melrose Park, IL 60160-1425 | 2006-08-21 |
| 1639159221 | Isabel Cristina Suastegui | Dentist | 1835 Broadway St, 210, Melrose Park, IL 60160-2040 | 2006-01-19 |
| 1396302212 | Reena Dev | Dentist | 2537 W North Ave, Melrose Park, IL 60160-1121 | 2019-05-27 |
| 1174000186 | Lin Sebaihi | Dentist | 1812 N 19th Ave, Melrose Park, IL 60160 | 2018-07-23 |
| 1497277974 | John Christopher Neis | Dentist | 3521 W Lake St, Melrose Park, IL 60160-2825 | 2017-07-17 |
| 1902257595 | Priyanka Pandya | Dentist | 2537 W North Ave, Melrose Park, IL 60160-1121 | 2016-06-25 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on DR. MARK S JACOBS.
| 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.