Individual
MR. JACOB DANIEL MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.D.
Contact information
Practice address
2412 E WASHINGTON ST, SUITE 2, BLOOMINGTON, IL 61704-4497
(309) 662-0622
(309) 662-3384
Mailing address
18649 N APACHE PATH, DANVERS, IL 61732-9050
(309) 684-0888
(309) 662-3384
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3215
IL
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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