Ben Jacob, Amanda Leigh

Ben Jacob, Amanda Leigh is an sole proprietor health care provider with primary practice located at 251 E Huron St Ste 5-704 , Chicago IL 60611-2908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ben Jacob, Amanda Leigh can be contacted via phone (312) 695-0061.

Contact Information

Primary practice address
251 E Huron St Ste 5-704 Chicago IL 60611-2908
Phone: (312) 695-0061
Fax: (312) 695-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209026253 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209026253 Illinois

Profile Details

NPI number 1700596467
LBN Legal business name Ben Jacob, Amanda Leigh
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2022
Last updated Feb 12th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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