Jacobson Medical Services SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

042-618125 Issued in IL

Legal business name

JACOBSON MEDICAL SERVICES SC

Practice address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Phone

(708) 684-8000

Fax

(312) 421-1133

NPI assigned

Jul 20, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Raymond Jacobson, MDNPI 1447231063

Title

President

Phone

(312) 421-1226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Raymond Jacobson, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1447231063
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1841210457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W. LEXINGTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074013",
            "telephone_number": "312-421-1226",
            "fax_number": "312-421-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-8000",
            "fax_number": "312-421-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON MEDICAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-421-1226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "042-618125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Jackson
• Justice Jackson
• Shaniqua Jackson, FNP
• Michaela Jacob, DO
• Mi'Kel Jacobs
• Sarah R Jacobson, DPT
• Rawya Jadrawi
• David Gerard Jaimovich, MD
• Gunjan Jain, DDS
• Roshan Jain, DDS

• Specialist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.