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Search › Illinois › 363A00000X

Justin Jacobson, PA

NPI 1528478104 · on the registry since 2014

Practice

Address
1340 Charles St Ste 100
Rockford, IL 61104
Phone
(779) 696-1900
Organisation at this address
Warren L Lowry Sc
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-19

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