IndividualActive
Bryan Jacobs, DMD, MS
NPI 1386079689 · Prosthodontics · Skokie, IL
Provider details
- NPI number
- 1386079689
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 019.029615 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4905 Old Orchard Ctr Ste 728
Skokie, IL 60077-4734
Phone: (847) 676-1432
Approximate (ZIP-level) locationGet directions
Mailing address
345 E Wacker Dr Unit 4112
Chicago, IL 60601-5274
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2013-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.