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Individual

JACOB NATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
611 W BRIAR PL, CHICAGO, IL 60657-4812
(317) 331-5013
Mailing address
2210 W WABANSIA AVE APT 406, CHICAGO, IL 60647-5488
(773) 706-1698

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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