Individual
JACOB MCCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 OAK ST, NORTHFIELD, IL 60093-3042
(224) 505-5656
Mailing address
731 WOODLAWN AVE, LAKE FOREST, IL 60045-2481
(224) 656-4617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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