Individual
MRS. ANNE F. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
10 N SUMMIT AVE, PARK RIDGE, IL 60068-3310
(847) 825-1161
Mailing address
1840 N OAK PARK AVE, CHICAGO, IL 60707-3314
(312) 607-9556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004746
IL
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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