Individual
MRS. ALICE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 660-4800
Mailing address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133833
IL
208M00000X
Hospitalist Physician
Primary
036133833
IL
Other
Enumeration date
03/25/2011
Last updated
03/17/2018
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