SearchIllinoisDermatology Physician

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 Sc
Inferred 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