Individual
BETSY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 TIFFANY PT STE 203, BLOOMINGDALE, IL 60108-2916
(630) 828-6821
(727) 473-3368
Mailing address
1 TIFFANY PT STE 203, BLOOMINGDALE, IL 60108-2916
(630) 828-6821
(727) 473-3368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277001175
IL
Other
Enumeration date
10/11/2007
Last updated
11/12/2025
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