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1558352096
WALTER JACOBSEN
CHICAGO, IL
NPI
1558352096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IL 016004485)
Enumeration Date
2005-11-03
Last Update Date
2007-07-08
Business Address
Dr. WALTER JACOBSEN DPM
1111 W BRYN MAWR AVE
CHICAGO, IL 60660-4401
Phone number: 773-561-7627
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Mailing Address
Dr. WALTER JACOBSEN DPM
1111 W BRYN MAWR AVE
CHICAGO, IL 60660-4401
Phone number: 773-561-7627
Copy
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