JEFFREY RANDALL JACOBSON (NPI# 1609937432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609937432 |
Entity Type | Individual |
Full Name | JEFFREY RANDALL JACOBSON |
Credential | M.D. |
Practice Address |
909 South Wolcott Avenue 3141 Comrb Chicago IL 60612-3725 |
Practice Telephone | 3129968039 |
Practice Fax Number | 3129964665 |
Mailing Telephone | 3129968039 |
Mailing Fax Number | 3129964665 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2010-03-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.114116 | IL | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036.114116 | IL | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036114116 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036114116 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770797730 | Jeffrey M Jacobson | Dentist | 33421 Spinnaker Dr N, Dana Point, CA 92629-4434 | 2007-05-09 |
1700920741 | Jeffrey Don Jacobson | Dentist | 1024 Colington Rd, Suite 1, Kill Devil Hills, NC 27948-8019 | 2007-02-15 |
1588812820 | Jeffrey Mica Jacobson | Plastic Surgery | 755 North Broadway, Suite 540, Sleepy Hollow, NY 10591-1059 | 2008-08-28 |
1841452919 | Jeffrey Eric Jacobson | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-30 |
1245441492 | Jeffrey Douglas Jacobson | Pharmacist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2007-05-26 |
1861446874 | Jeffrey Michael Jacobson | Radiology | 411 Canisteo St, Hornell, NY 14843-2104 | 2006-05-22 |
1689626947 | Jeffrey Lee Jacobson | Optometrist | 1400 Oaklawn Ave, Optometric Providers of Rhode Island, Inc, Cranston, RI 02920-2643 | 2006-05-16 |
1598724759 | Jeffrey Phillip Jacobson | Dentist | 508 Fulton St, Durham, NC 27705-3875 | 2006-03-17 |
1104808617 | Jeffrey M Jacobson | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-11-18 |
Street Address |
909 SOUTH WOLCOTT AVENUE 3141 COMRB |
City | CHICAGO |
State | IL |
Zip Code | 60612-3725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
1346340650 | Ricky Johnson | Internal Medicine | 2011 E 75th St, Chicago, IL 60649-3607 | 2006-09-25 |
1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
Find all providers in CHICAGO |
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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.