Individual
DANIELLE RENE JAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 KINGS GATE LN, CRYSTAL LAKE, IL 60014-2906
(815) 276-7786
(815) 788-1321
Mailing address
547 W PARK AVE, UNIT A, LIBERTYVILLE, IL 60048-2666
(224) 374-9180
(815) 788-1321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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