Individual
ANN ELIZABETH JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1555 LEE ST, DES PLAINES, IL 60018-1518
(847) 299-4488
Mailing address
11 S WILLE ST, UNIT 501, MOUNT PROSPECT, IL 60056-3111
(224) 392-8298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051292317
IL
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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