Jacob John Platt

NPI #1851948889 in Mchenry, Illinois

Provider Information

NPI Number: 1851948889
Entity Type: Individual
Name: Jacob John Platt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Aug 23, 2019
Last Updated: Mar 24, 2023

Practice Location

Address: 4309 W MEDICAL CENTER DR STE B305
City: Mchenry
State: Illinois
ZIP Code: 60050-8418
Phone: (847) 535-7271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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