Carolyn Jacob, MD
Dermatology · Chicago, IL
UnclaimedMDNPI 1265498083
- Primary taxonomy
- 207N00000X
- Enumerated
- 2006-04-21
- Practice location
- Chicago, IL
- Last NPPES update
- 2020-02-05
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · LIMITED MEDICAL TEMPORARY PERMITExpiredthrough 1998
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 1998
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.