Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLEN JACOBSEN, M.D.
Active Sole ProprietorSpecialist · URBANA, IL
Registration Details
- NPI Number
- 1821092891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2005 (20.897365364528 yrs)
- Last Updated
- Jul 8, 2007
- License
-
036099003 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 W SPRINGFIELD AVEURBANA, IL, 618018809Browse IL providers · Browse ZIP 61801
- Phone
- 2173677546
- Fax
- 2173672240
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| CARL J. BELBER | M.D. | 1053685735 |
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.