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Carolyn Jacob, MD
NPI 1265498083 · on the registry since 2006
Practice
- Address
- 515 N State St Ste 900
Chicago, IL 60654 - Phone
- (312) 245-9965
- Fax
- (312) 245-9964
- Organisation at this address
- League Corp.
Florence Wellness Of Illinois Pc
Chicago Cosmetic Surgery And Dermatology ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Dermatology Physician
207N00000X
- Also registered as
- Procedural Dermatology Physician
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois