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Individual

DR. JACOB ROSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3257 N SHEFFIELD AVE STE 118, CHICAGO, IL 60657-2276
(309) 868-3654
Mailing address
1209 W DIVERSEY PWKY UNIT G-2, CHICAGO, IL 60614-1201
(773) 236-8566
(773) 257-7553

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009553
IL

Other

Enumeration date
11/29/2010
Last updated
05/06/2022
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