Individual
JULIE MARIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
5514 WASHINGTON ST, MORTON GROVE, IL 60053-3462
(847) 284-3883
(844) 530-2803
Mailing address
5514 WASHINGTON ST, MORTON GROVE, IL 60053-3462
(847) 284-3883
(844) 530-2803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
277002220
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
277002220
IL
Other
Enumeration date
12/09/2014
Last updated
10/06/2023
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