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NPI Code Detail

MEDICARE: BRETT ANDREW JACOBSON LSW

MEDICARE:   BRETT ANDREW JACOBSON  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150.103480IL

General Provider Information

NPI Number : 1114872801
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT ANDREW JACOBSON LSW
Provider Business Mailing Address
First Line : 1N730 MACQUEEN DR
Second Line :
City : WEST CHICAGO
State : IL
Zip : 60185-1961
Country : US
Telephone Number : 847-533-4360
Fax Number :
Provider Business Practice Location Address
First Line : 1N730 MACQUEEN DR
Second Line :
City : WEST CHICAGO
State : IL
Zip : 60185-1961
Country : US
Telephone Number : 847-533-4360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “ BRETT ANDREW JACOBSON LSW” Practice Location

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