Individual
JACOB LEVI PLISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041.602740
IL
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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