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1992795710
GREGORY S JACOB
GLENVIEW, IL
NPI
1992795710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019019708)
Additional Taxonomies
122300000X Dentist
(Licence: WI 593215)
Enumeration Date
2005-10-24
Last Update Date
2024-03-29
Business Address
Dr. GREGORY S JACOB DDS
2400 RAVINE WAY STE 500
GLENVIEW, IL 60025-7652
Phone number: 847-509-1990
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Mailing Address
Dr. GREGORY S JACOB DDS
9672 REDING CIR
DES PLAINES, IL 60016-1551
Phone number: 847-298-8954
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