Individual
MATHEW JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16228 RYEHILL CIR, ORLAND PARK, IL 60467-5392
(773) 817-1563
Mailing address
16228 RYEHILL CIR, ORLAND PARK, IL 60467-5392
(773) 817-1563
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05009554A
IN
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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