Individual
DR. SAPNA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 327-1434
(847) 573-8570
Mailing address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 327-1434
(847) 573-8570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L1096
TX
207QA0505X
Adult Medicine Physician
Primary
036125939
IL
Other
Enumeration date
10/17/2006
Last updated
09/24/2012
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