THERAN JACOB SELPH

CHICAGO, IL
NPI1902575822
Other NameJAKE SELPH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
Mr. THERAN JACOB SELPH BS
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
Mailing Address
Mr. THERAN JACOB SELPH BS
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975