JACOB PHILIP

SPRINGFIELD, IL
NPI1407261852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019029840)
Enumeration Date2014-06-24
Last Update Date2018-07-05
Business Address
JACOB PHILIP dds
802 N 9TH ST
SPRINGFIELD, IL 62702
Phone number: 847-701-1457
Mailing Address
JACOB PHILIP dds
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066