Individual
DR. GREGORY S JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2400 RAVINE WAY, STE 500, GLENVIEW, IL 60025-7652
(847) 509-1990
(847) 509-1992
Mailing address
9672 REDING CIR, DES PLAINES, IL 60016-1551
(847) 298-8954
(847) 724-2113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019708
IL
122300000X
Dentist
593215
WI
Other
Enumeration date
10/24/2005
Last updated
03/29/2024
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