Dr. Mark C. Jacobson
Allergist & Immunologist
911 N Elm St Ste 300
Hinsdale
, Illinois 60521-3642
Dr. Mark C. Jacobson
Allergist & Immunologist
911 N Elm St Ste 300
Hinsdale
, Illinois 60521-3642
(630) 455-0456
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Mark C. Jacobson
- 911 N Elm St Ste 300
- Hinsdale, IL
- Zip : 60521-3642
- Phone : (630) 455-0456
Second Address
- Dr. Mark C. Jacobson
- 911 N Elm St Ste 300
- Hinsdale, IL
- Zip : 60521-3642
- Phone : (630) 455-0456
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 036084954 | IL |
National Provider Identifier
| NPI | 1124059076 |
|---|---|
| Provider Name | Dr. Mark C. Jacobson |
| First Address | Hinsdale, IL 60521-3642 |
| Second Address | Hinsdale, IL 60521-3642 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 26/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036084954 | (05) | IL |
| F57770 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.