IndividualActive
Kristin Jacobs
NPI 1275823296 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Chicago, IL
Provider details
- NPI number
- 1275823296
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD15052 (RI)
Practice location
1725 W Harrison St Ste 1138
Chicago, IL 60612
Phone: (312) 563-6000
Fax: (312) 563-6008
Mailing address
1725 W Harrison St Ste 1138
Chicago, IL 60612-3845
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.