Jacob, Mark B

Jacob, Mark B is an individual health care provider with primary practice located at 1893 Sheridan Rd Ste 311 , Highland Park IL 60035-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Jacob, Mark B can be contacted via phone (847) 433-6636.

Contact Information

Primary practice address
1893 Sheridan Rd Ste 311 Highland Park IL 60035-2646
Phone: (847) 433-6636
Fax: (847) 433-2090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 021.002059 Illinois

Profile Details

NPI number 1659486751
LBN Legal business name Jacob, Mark B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 28th, 2023 - about last year

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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