Organization
SAPNA JACOB M.D, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAPNA JACOB M.D. (PHYSICIAN OWNER)
(512) 203-6211
Entity
Organization
Contact information
Practice address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 327-1434
Mailing address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 327-1434
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-125939
IL
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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