Individual
DR. JONKER CASPER JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
820 DAVIS ST STE 460, EVANSTON, IL 60201-4447
(847) 332-2226
Mailing address
2727 WOODBINE AVE, EVANSTON, IL 60201-1565
(847) 971-4360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032784
IL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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