Individual
JUSTIN S JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2480 DOWNING CIR, GURNEE, IL 60031-1029
(847) 739-6792
Mailing address
2480 DOWNING CIR, GURNEE, IL 60031-1029
(847) 739-6792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304277
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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