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Individual

MR. JACOB B BARACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1875 DEMPSTER ST STE 470, PARK RIDGE, IL 60068-1129
(847) 795-3100
(847) 723-5882
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.021063
IL
103TC0700X
Clinical Psychologist
0810007923
VA

Other

Enumeration date
09/22/2020
Last updated
10/22/2025
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