Organization
JEENA JACOB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEENA GEORGE JACOB PSY.D. (PRESIDENT)
(847) 912-8958
Entity
Organization
Contact information
Practice address
1721 MOON LAKE BLVD STE 150, HOFFMAN ESTATES, IL 60169-1069
(847) 519-3650
(847) 519-3652
Mailing address
1173 ANCIENT OAKS CT, BARTLETT, IL 60103-1711
(847) 912-8958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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