Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLI JACOBSEN
Active Sole ProprietorSALLI JACOBSEN is a Podiatric Surgery healthcare provider located in LOVES PARK, Illinois. NPI 1316562788 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · LOVES PARK, IL
Registration Details
- NPI Number
- 1316562788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2020 (6.1958869145961 yrs)
- Last Updated
- Jun 11, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
6699 TORCH LITE TRLOVES PARK, IL, 61111Browse IL providers · Browse ZIP 61111
- Phone
- 8158853202
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.