JAMES JACOB

CHICAGO, IL
NPI1780235093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.029254)
Additional Taxonomies225100000X Physical Therapist
(Licence: WI  14854-24)
Enumeration Date2019-09-27
Last Update Date2025-07-30
Business Address
JAMES JACOB DPT
1340 E 47TH ST
CHICAGO, IL 60653-4508
Phone number: 773-496-5147
Mailing Address
JAMES JACOB DPT
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206