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Deactivated NPI 1083633697 Deactivated / Inactive NPI Male Practitioner

Dr. Abraham V Jacob , MD

Emergency Medicine • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Abraham Jacob has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006
NPI Deactivation Date August 10, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Abraham Jacob, MD was a registered Emergency Medicine practicing in Chicago, IL. Throughout an active medical career spanning 12 years, Dr. Jacob provided care at the practice location at 8012 S CRANDON AVE until profile deactivation on 2018-08-10.

Practice Location & Contact Primary Location

Practice Address

8012 S Crandon Ave

Chicago, IL 606171124

Telephone 7733565331
Fax 7737688154
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
1335 Specialists

Practicing in Chicago, IL (3389 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kathleen Powell , REGISTERED NURSE

Registered Nurse - Diabetes Educator

NPI 1194120337

REGISTEREDNURSE

Dr. Natalia Dejneka , MD

Emergency Medicine

NPI 1225041452

Doctor of Medicine (M.D.)

Dr. Thomas Bahk , MD

Emergency Medicine

NPI 1710912365

Doctor of Medicine (M.D.)

Dr. Elbert Smith , MD

Emergency Medicine

NPI 1881613487

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 10, 2018

Record deactivated on August 10, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8012 S CRANDON AVE, CHICAGO, IL 606171124 (Tel: 7733565331)

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Updated Business Mailing Address July 08, 2007

Registered at 422 LAVERGNE AVE, WILMETTE, IL 600912902

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Provider Name / Credentials Updated July 08, 2007

Recorded as ABRAHAM JACOB, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine

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Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083633697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: July 08, 2007
Deactivation Date: August 10, 2018

Mailing Address

422 Lavergne Ave

Wilmette, IL 600912902

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.