Individual
ELISE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 OLD GLENVIEW RD STE 15, WILMETTE, IL 60091-2963
(847) 256-2000
Mailing address
1552 SOUTH ROUTE 59 PMB 1195, NAPERVILLE, IL 60564-5941
(630) 286-9864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011684
IL
Other
Enumeration date
02/13/2020
Last updated
04/23/2026
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