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Individual

EDWARD JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
344 N MAIN ST UNIT D, SYCAMORE, IL 60178-1456
(630) 485-8316
Mailing address
344 N MAIN ST UNIT D, SYCAMORE, IL 60178-1456
(630) 485-8316

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005776
IL

Other

Enumeration date
06/04/2025
Last updated
06/04/2025
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