Daniel Jacob

NPI #1801213962 in Mount Prospect, Illinois

Provider Information

NPI Number: 1801213962
Entity Type: Individual
Name: Daniel Jacob
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Mar 26, 2014
Last Updated: Mar 26, 2014

Practice Location

Address: 1820 E BOULDER DR
City: Mount Prospect
State: Illinois
ZIP Code: 60056-1961
Phone: (224) 475-2433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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