OrganizationActive
W Jacobsen DPM Professional Corporation
NPI 1801060561 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Provider details
- NPI number
- 1801060561
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Walter Jacobsen, President(773) 561-7626
- License
- 016004485 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1126 W Bryn Mawr Ave
Chicago, IL 60660-4410
Phone: (773) 561-7626
Fax: (773) 561-1111
Street-level locationGet directions
Mailing address
1126 W Bryn Mawr Ave
Chicago, IL 60660-4410
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2010-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.