Individual
JACOB ROBERT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1698 S ELMHURST RD STE 110, MOUNT PROSPECT, IL 60056-5517
(847) 786-2014
Mailing address
1698 S ELMHURST RD STE 110, MOUNT PROSPECT, IL 60056-5517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010464
IL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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