Active NPI
Jacob H Fox, MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1841242716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 031 047662
- Practice address
- 1725 W Harrison
#1106
Chicago, IL 60612-3824 - Phone
- (312) 942-8729
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 031 047662 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison
#1106
Chicago, IL 60612-3824
Mailing address
1725 W Harrison St
#1106
Chicago, IL 60612-3824
Phone (312) 942-7043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036047662 | Medicaid | IL | |
| 336013823 | Other | IL | IL DEPT OF FU PROF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031 047662 | IL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1841242716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "#1106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123824",
"telephone_number": "312-942-7043",
"fax_number": "312-942-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON",
"address_2": "#1106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123824",
"telephone_number": "312-942-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JACOB",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "031 047662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036047662",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DEPT OF FU PROF",
"identifier": "336013823",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.