Jacob, Abraham
Jacob, Abraham is an sole proprietor health care provider with primary practice located at 5320 159Th St Ste 300 , Oak Forest IL 60452-3333. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jacob, Abraham can be contacted via phone (708) 687-4747.Contact Information
Primary practice address
5320 159Th St Ste 300
Oak Forest IL 60452-3333
Phone: (708) 687-4747
Fax: (708) 687-4749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1942497755 |
|---|---|
| LBN Legal business name | Jacob, Abraham |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Sep 26th, 2007 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942497755 | NPPES |
| Illinois | Other | 7602301 | AETNA |
| Illinois | Other | 1515389 | AETNA |
| Illinois | Other | 1618642 | AETNA |
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