Individual
JAKOB GRIEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13491 N 1600 EAST RD, PONTIAC, IL 61764-3432
(815) 584-6586
Mailing address
13491 N 1600 EAST RD, PONTIAC, IL 61764-3432
(815) 584-6586
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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