Gary Jacobs

NPI #1558481382 in Mattoon, Illinois

Provider Information

NPI Number: 1558481382
Entity Type: Individual
Name: Gary Jacobs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 HEALTH CENTER DR
City: Mattoon
State: Illinois
ZIP Code: 61938-9253
Phone: (217) 258-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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