Elise Jacob

NPI #1770116147 in Wilmette, Illinois

Provider Information

NPI Number
1770116147
Entity Type
Individual
Name
Elise Jacob
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Feb 13, 2020
Last Updated
Jun 28, 2022

Practice Location

Address
3330 OLD GLENVIEW RD STE 15
ZIP Code
60091-2963
Phone
(847) 256-2000

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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