Individual
DR. MERCEDITA C JACOB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 246-0588
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 246-0588
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36046714
IL
Other
Enumeration date
05/05/2006
Last updated
07/09/2007
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