Laurence A Jacobs, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

036-054440 Issued in IL

Practice address

2555 Patriot Blvd Ste 100
Glenview, IL 60026-8022

Phone

(847) 729-2188

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fertility Centers of Illinois

  • Reproductive Endocrinology Physician
  • Glenview, IL
  • NPI 1265529903
  NPD (past)
• Ovum Medical, LLC

  • Complex Family Planning Physician
  • Sagle, ID
  • NPI 1205536703
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1922141522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PATRIOT BLVD STE 200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268022",
            "telephone_number": "847-729-2188",
            "fax_number": "847-729-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PATRIOT BLVD STE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268022",
            "telephone_number": "847-729-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 W Higgins Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601692433",
            "country_code": "US",
            "telephone_number": "847-843-1510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 W Lake Ave",
            "address_2": "Suite 310 Attn FCI",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600265823",
            "country_code": "US",
            "telephone_number": "847-729-2188 x21040",
            "fax_number": "847-729-2396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Patriot Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268022",
            "country_code": "US",
            "telephone_number": "847-729-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LAURENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036-054440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbra Carline Jackson, COTA
• Karen A Jackson, MD
• Alen Anil Jacob
• Amir Jacob, SSP
• Christina C Jacob, D.D.S.
• Solange Jacobs, OTR/L
• Suzanne Ellen Jacobs, OTD, OTR/L
• Carolyn Jill Jacobson, D.C.
• Brian Patrick Jacquot, PA-C
• Renee Jaegers, LCPC

• Reproductive Endocrinology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Reproductive Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.