Individual
JACOB SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 W FLOURNOY ST APT 1, CHICAGO, IL 60607-5323
(417) 425-9773
Mailing address
1220 W FLOURNOY ST APT 1, CHICAGO, IL 60607-5323
(417) 425-9773
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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