Search › Illinois › 207R00000X
Daniel Jacob
NPI 1801213962 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1820 E Boulder Dr
Mount Prospect, IL 60056 - Phone
- (224) 475-2433
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois