Search › Illinois › 174400000X
Ellen Jacobsen, M.D
NPI 1821092891 · on the registry since 2005 · sole proprietor
Practice
- Address
- 407 W Springfield Ave
Urbana, IL 61801 - Phone
- (217) 367-7546
- Fax
- (217) 367-2240
- Organisation at this address
- Ellen Jacobsen, M.D.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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