ROSS JACOB

CHICAGO, IL
NPI1316233794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-011193)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- ROSS JACOB LCSW
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number: 773-572-5500
Mailing Address
-- ROSS JACOB LCSW
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number:
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