npidexNPI registry + Medicare data

MARK JACOB

Oral & Maxillofacial Surgery (D.M.D.) · HIGHLAND PARK, IL

Individual Active Opted out of Medicare NPI 1659486751

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓021.002059IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Maxillofacial Surgery), effective 2011-04-01 through 2027-04-01.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.