| NPI | 1063546166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK JACOBS President 847-486-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 042617789) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-12-13 |