MARK S JACOBS

MELROSE PARK, IL
NPI1346311560
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019-017628)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
DR. MARK S JACOBS DDS
802 N BROADWAY
MELROSE PARK, IL 60160-3726
Phone number: 708-345-7638
Mailing Address
DR. MARK S JACOBS DDS
802 N BROADWAY
MELROSE PARK, IL 60160-3726
Phone number: 708-345-7638
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