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Individual

AMIR JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SSP

Contact information

Practice address
603 GLENWOOD LN, GLENVIEW, IL 60025-4017
(773) 663-8377
Mailing address
603 GLENWOOD LN, GLENVIEW, IL 60025-4017

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2042080
IL

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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