MARK B JACOB (NPI# 1659486751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659486751 |
| Entity Type | Individual |
| Full Name | MARK B JACOB |
| Practice Address |
1740 W Taylor St Chicago IL 60612-7232 |
| Mailing Address |
809 S Marshfield Ave 9th Floor (m/c 732) Chicago IL 60612-4305 |
| Practice Telephone | 8666002273 |
| Mailing Telephone | 3129967699 |
| Mailing Fax Number | 3129961001 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659955 | Mark William Jacob | Dentist | 4119 Dundee Rd, Northbrook, IL 60062-2129 | 2007-03-22 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1306126032 | Mark Jacob | Nurse Practitioner | 13737 Noel Rd, Suite 1200, Dallas, TX 75240-1331 | 2011-08-25 |
| 1063688497 | Mark Kevin Jacob | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2008-05-06 |
| 1952524399 | Mark Alan Jacob | Internal Medicine | 4330 Medical Dr Ste 500, San Antonio, TX 78229-3318 | 2007-04-11 |
| Street Address |
1740 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450882 | Nestor S Cuasay | Radiology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2005-07-09 |
| 1255941589 | Tariq Yousef Mohammad Alyamani | Internal Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-08-02 |
| 1043828601 | Alexandra Leora Millman | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-07-20 |
| 1457974818 | Marian Shehata | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-20 |
| 1033731773 | Parisa Hassanzadeh | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-16 |
| 1922620939 | Mohammad El-saied | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1205458213 | Michal Gorski | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1710509773 | Jaspreet Bahia | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1184246191 | Sean Carter Tompkins | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1548882442 | Zaid Adel Zayyad | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
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| 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 | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821652736 | Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 | 2019-04-25 |
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1518528165 | Ali Al-qudsi | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-25 |
| 1669033445 | Brett Quinto | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-24 |
| 1508144585 | James Anthony Murphy | Oral & Maxillofacial Surgery | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2011-07-25 |
| 1326338948 | Michael David Han | Oral & Maxillofacial Surgery | 801 S Paulina St, Room 110 (mc 835), Chicago, IL 60612-7210 | 2011-04-15 |
| 1881821445 | Board of Trustees of The University of Illinois | Oral & Maxillofacial Surgery | 840 S Wood St, Mc 958, Chicago, IL 60612-4325 | 2009-06-22 |
| 1225291347 | Michael Robert Markiewicz | Oral & Maxillofacial Surgery | 801 S Paulina St, Chicago, IL 60612-7210 | 2008-07-09 |
| 1992883367 | Gregory Paul Thomas | Oral & Maxillofacial Surgery | 676 N Saint Clair St, Suite 2280, Chicago, IL 60611-2927 | 2006-11-01 |
| 1942244645 | The Board of Trustees of The University of Illinois | Oral & Maxillofacial Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-06-15 |
| 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.