Individual
DR. JACOB CHARLES LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD,R.PH
Contact information
Practice address
3001 WASHINGTON ST, WAUKEGAN, IL 60085-4843
(847) 406-2261
Mailing address
330 W GRAND AVE APT 1707, CHICAGO, IL 60654-5809
(330) 635-6311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.303661
IL
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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