Individual provider · NPI-1

Dr. Jeffrey D. Ackman, M.D.

Orthopaedic Surgery · Chicago, IL

NPI number1417063389

StatusActive

Last updated in NPPESApr 30, 2021

Details

NPI: 1417063389
Entity type: Individual (NPI-1)
Name: Dr. Jeffrey D. Ackman
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 22, 2006
Certification date: Apr 30, 2021
Last updated: Apr 30, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207X00000X	Orthopaedic Surgery	036-066460	IL	Yes
208600000X	Surgery	036-066460	IL

Practice location

2211 N. Oak Park Avenue
Chicago, IL 60707-3392

Phone 773-385-5491

Mailing address

Po Box 8500, Lockbox 7642
Philadelphia, PA 19178-7642

Phone 813-281-8115 · Fax 813-281-8656

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