Jacobson, Mark David

Jacobson, Mark David is an individual health care provider with primary practice located at 10001 Grand Ave , Franklin Park IL 60131-2563. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jacobson, Mark David can be contacted via phone (847) 451-0330.

Contact Information

Primary practice address
10001 Grand Ave Franklin Park IL 60131-2563
Phone: (847) 451-0330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1528739182
LBN Legal business name Jacobson, Mark David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 4 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.

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