DANIEL JACOB

MOUNT PROSPECT, IL
NPI1801213962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036097540)
Enumeration Date2014-03-26
Last Update Date2014-03-26
Business Address
-- DANIEL JACOB
1820 E BOULDER DR
MOUNT PROSPECT, IL 60056-1961
Phone number: 224-475-2433
Mailing Address
-- DANIEL JACOB
1820 E BOULDER DR
MOUNT PROSPECT, IL 60056-1961
Phone number: 224-475-2433