Scott Anthony Jacobsen (NPI# 1386674950, PAC ID# 6406742600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1386674950 |
| PAC ID by PECOS | 6406742600 |
| Professional Enrollment ID | I20040225000237 |
| Full Name | Scott Anthony Jacobsen |
| Organization Legal Name | ILLINOIS BONE AND JOINT INSTITUTE LLC |
| Address |
1025 Red Oak Ln Suite 100 Lindenhurst IL 60046-5017 |
| Phone Number | 8473363335 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6002814878 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 | 8473363335 | ILLINOIS BONE AND JOINT INSTITUTE LLC |
| Organization Legal Name | ILLINOIS BONE AND JOINT INSTITUTE LLC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Preksha Maiya | Physical Therapy | Illinois Bone and Joint Institute LLC | 815 Cog Cir, Suite 1, Crystal Lake, IL 60014-7302 |
| Elyse Broderick | Physical Therapy | Illinois Bone and Joint Institute LLC | 900 Rand Rd, Suite 110, Des Plaines, IL 60016-2359 |
| Brian D Mills | Physical Therapy | Illinois Bone and Joint Institute LLC | 521 Green Bay Rd, Wilmette, IL 60091-2726 |
| Sara A Macknin | Occupational Therapy | Illinois Bone and Joint Institute LLC | 2401 Ravine Way, Suite 100, Glenview, IL 60025-7645 |
| Allie M Hufford | Physical Therapy | Illinois Bone and Joint Institute LLC | 1275 E Belvidere Rd, Suite 150, Grayslake, IL 60030-2083 |
| Kelsey Egger | Physical Therapy | Illinois Bone and Joint Institute LLC | 1300 E Central Rd, Arlington Heights, IL 60005-2857 |
| Brenden M Frank | Physical Therapy | Illinois Bone and Joint Institute LLC | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 |
| Brian E Schwartz | Orthopedic Surgery | Illinois Bone and Joint Institute LLC | 720 Florsheim Dr, Libertyville, IL 60048-3757 |
| Agnieszka E Kowalska | Physical Therapy | Illinois Bone and Joint Institute LLC | 1450 Busch Pkwy 115, Buffalo Grove, IL 60089-4541 |
| Jessica L Soros | Physical Therapy | Illinois Bone and Joint Institute LLC | 1919 Skokie Valley Rd, Highland Park, IL 60035-2361 |
| Street Address |
1025 RED OAK LN SUITE 100 |
| City | LINDENHURST |
| State | IL |
| Zip | 60046-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren T Gruber | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Elina Shapiro | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Catherine M Goodale | Nurse Practitioner | Waukegan Clinic Corp | 1025 Red Oak Ln, Suite 120, Lindenhurst, IL 60046-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dickstein | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Craig A Davishoff | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Neil H Puller | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Spring Evans | Physical Therapy | Adult and Pediatric Orthopedics, S.c | 50 S Milwaukee Ave, Suite 201, Lake Villa, IL 60046-5426 |
| Jeffrey B Wells | Chiropractic | Advanced Chiropractic and Acupuncture Center | 2450 E Grasslake Rd D, Lindenhurst, IL 60046-5607 |
| Lawrence G Needham | Chiropractic | 1512 N Cedar Lake Rd, Lake Villa, IL 60046-6404 | |
| Eugene Pomeranets | Family Medicine | 500 Park Ave, Suite 104, Lake Villa, IL 60046-6550 | |
| Semyon Maslovsky | Family Practice | Family Care of Lake County S.c. | 500 Park Ave, Suite 104, Lake Villa, IL 60046-6550 |
| David Rivera | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3021 Falling Waters Blvd, Suite C, Lindenhurst, IL 60046-6745 |
| Christine F Kharasch | Family Medicine | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Find all physicians in zip 60046 | |||
| City | LINDENHURST |
| Zip Code | 60046 |
| Specialty | PODIATRY |
| City + Specialty | LINDENHURST + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.