Individual
DR. JACOB EDWARD POSTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 4TH ST, PERU, IL 61354-3208
(815) 223-0171
Mailing address
460 N 2929TH RD, LA SALLE, IL 61301-9632
(815) 252-7505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033843
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/28/2022
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