ANN JACOB

SPRINGFIELD, IL
NPI1619396207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125069375)
Enumeration Date2014-04-10
Last Update Date2018-09-26
Business Address
ANN JACOB
901 W JEFFERSON ST
SPRINGFIELD, IL 62702-4833
Phone number: 312-513-0307
Mailing Address
ANN JACOB
PO BOX 19642 901 WEST JEFFERSON
SPRINGFIELD, IL 62794-9642
Phone number:
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