1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Podiatrist
  6. NPI Profile

W JACOBSEN DPM PROFESSIONAL CORPORATION
NPI 1801060561
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since April 14, 2008
1126 W BRYN MAWR AVE, CHICAGO, IL 60660(773) 561-7626(773) 561-1111 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About W Jacobsen Dpm Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W JACOBSEN DPM PROFESSIONAL CORPORATION (NPI 1801060561) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Walter Joseph Jacobsen, President, as its authorized official.

NPPES Registry Identity

NPI1801060561
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameW JACOBSEN DPM PROFESSIONAL CORPORATION
Location Address1126 W BRYN MAWR AVEChicago, IL 60660-4410
Mailing Address1126 W Bryn Mawr AveChicago, IL 60660-4410 · (773) 561-7626 · Fax (773) 561-1111
Phone(773) 561-7626
Fax(773) 561-1111
Organization SubpartNo
Authorized OfficialWalter Joseph JacobsenPresident · (773) 561-7626
Enumeration DateApril 14, 2008
Last NPPES UpdateNovember 9, 2010
✔ NPI 1801060561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016004485
1126 W BRYN MAWR AVE, Chicago, IL 60660
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU 05238

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W Jacobsen Dpm Professional Corporation's NPI number?

The NPI number for W Jacobsen Dpm Professional Corporation is 1801060561. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is W Jacobsen Dpm Professional Corporation located?

W Jacobsen Dpm Professional Corporation is located at 1126 W Bryn Mawr Ave, Chicago, IL 60660. The listed phone number is (773) 561-7626.

What is W Jacobsen Dpm Professional Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for W Jacobsen Dpm Professional Corporation was last updated on November 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.