W JACOBSEN DPM PROFESSIONAL CORPORATION is a foot and ankle surgery podiatrist in Chicago, IL. W JACOBSEN DPM PROFESSIONAL CORPORATION NPI is 1801060561. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1126 W BRYN MAWR AVE
CHICAGO, IL
ZIP 60660-410
Phone: (773) 561-7626
Fax: (773) 561-1111
The provider's authorized official is Walter Joseph Jacobsen .
The authorized official title is President and has the following contact phone number (773) 561-7626.
The enumeration date for this NPI number is 4/14/2008 and was last updated on 11/9/2010.