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Individual

ALISHA JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-5173
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041482764
IL
363L00000X
Nurse Practitioner
Primary
209-031813
IL

Other

Enumeration date
01/10/2025
Last updated
02/05/2026
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