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1407261852
JACOB PHILIP
SPRINGFIELD, IL
NPI
1407261852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IL 019029840)
Enumeration Date
2014-06-24
Last Update Date
2018-07-05
Business Address
JACOB PHILIP DDS
802 N 9TH ST
SPRINGFIELD, IL 62702
Phone number: 847-701-1457
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Mailing Address
JACOB PHILIP DDS
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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