Individual
DALIA T. JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324, EVANSTON, IL 60201-1718
(847) 570-1010
(847) 733-5128
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-104516
IL
Other
Enumeration date
11/28/2006
Last updated
10/30/2009
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