Individual
DR. JACOB MCGILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4517 N ROCKWOOD DR STE A, PEORIA, IL 61615-3853
(309) 688-0121
Mailing address
330 N NEBRASKA AVE, MORTON, IL 61550-2325
(217) 370-8633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036167
IL
Other
Enumeration date
06/19/2025
Last updated
06/23/2025
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