Individual
DR. JACOB WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3024 S STATE ROUTE 159, GLEN CARBON, IL 62034-3109
(618) 205-6119
Mailing address
10904 UPLAND TERRACE DR, LEBANON, IL 62254-2335
(618) 975-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033854
IL
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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