Individual
JACOB BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 E DELAWARE PL, APT 1305, CHICAGO, IL 60611-1828
(908) 616-6068
Mailing address
25 E DELAWARE PL, APT 1305, CHICAGO, IL 60611-1828
(908) 616-6068
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
06/19/2019
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