Individual
DR. LINDA CHAN-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
429 S LINCOLN RD, ESCANABA, MI 49829-1210
(906) 786-7878
Mailing address
345 E WACKER DR, APT. # 4112, CHICAGO, IL 60601-5229
(617) 909-5227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029499
IL
122300000X
Dentist
2901020898
MI
1223E0200X
Endodontics
Primary
021002512
IL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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