JACOB SAMUEL

CHICAGO, IL
NPI1982263646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032124)
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
JACOB SAMUEL DMD
1017 W MADISON ST
CHICAGO, IL 60607-2007
Phone number: 312-759-1120
Mailing Address
JACOB SAMUEL DMD
1686 CHARLOTTE CIR
NAPERVILLE, IL 60564-8205
Phone number: 630-414-3884