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1164724019
JACOB ROSSER
CHICAGO, IL
NPI
1164724019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.009553)
Enumeration Date
2010-11-29
Last Update Date
2022-05-06
Business Address
Dr. JACOB ROSSER PsyD
3257 N SHEFFIELD AVE STE 118
CHICAGO, IL 60657-2276
Phone number: 309-868-3654
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Mailing Address
Dr. JACOB ROSSER PsyD
1209 W DIVERSEY PWKY UNIT G-2
CHICAGO, IL 60614-1201
Phone number: 773-236-8566
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