Individual
JACOB DE GALICIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 LEE ST, DES PLAINES, IL 60018-1514
(847) 625-4000
Mailing address
44 HACKBERRY LN, GLENVIEW, IL 60025-3452
(773) 240-1468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146017488
IL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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