Organization
ALTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MULTACK LPC (MANAGING MEMBER)
(708) 625-7523
Entity
Organization
Contact information
Practice address
15601 CICERO AVE STE 104, OAK FOREST, IL 60452-3636
(708) 625-7523
Mailing address
240 E WOODLAWN RD, NEW LENOX, IL 60451-2288
(708) 625-7523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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