JACOB S LAKE

CHICAGO, IL
NPI1811979933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019016208)
Enumeration Date2005-11-15
Last Update Date2007-07-08
Business Address
Dr. JACOB S LAKE DDS
2806 W DEVON AVE
CHICAGO, IL 60659-1502
Phone number: 773-973-1100
Mailing Address
Dr. JACOB S LAKE DDS
1800 MISSION HILLS RD
NORTHBROOK, IL 60062-5750
Phone number: 847-562-0808
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