Individual
RACHEL H JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
561 W DIVERSEY PKWY STE 210A, CHICAGO, IL 60614-1682
(773) 830-4725
Mailing address
561 W DIVERSEY PKWY STE 210A, CHICAGO, IL 60614-1682
(773) 830-4725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008392
IL
Other
Enumeration date
11/30/2009
Last updated
06/30/2020
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