Individual
JAKOB CIHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1922 BLACKTHORN DR, CHAMPAIGN, IL 61821-6300
(815) 317-6140
Mailing address
1922 BLACKTHORN DR, CHAMPAIGN, IL 61821-6300
(815) 317-6140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.026641
IL
Other
Enumeration date
02/07/2022
Last updated
09/25/2024
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