Individual
MRS. JILL KALKOFEN-JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
5TH AND ROOSEVELT, BLDG. 9(11K) RECREATION, HINES, IL 60141
(707) 202-2250
(707) 202-7960
Mailing address
212 ATWELL ST, ELGIN, IL 60123-8496
(708) 202-2250
(708) 202-7960
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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